DR. JONATHAN S KOELLE (MD) – Psychiatry Physician, NPI 1609803824
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,134 PSYCHIATRY in CA
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Provider Addresses for DR. JONATHAN S KOELLE (MD)
PO BOX 609001
SAN DIEGO, CA 921609001
Phone: (619) 528-4600
Fax: (619) 528-4625
Type: Mailing
4700, Spring Street, La Mesa, San Diego County, California, 91942, United States
SUITE 220
LA MESA, CA 919515274
Phone: (619) 667-3380
Fax: (619) 667-0815
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $544.
Total Amount is formed as General ($544) + Research ($0) + Ownership ($0) = $544.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($382).
Total Amount
$544
General + Research + Ownership
Payments
13
Total payment records
General Amount
$544
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $382 |
| Corium, LLC | $64 |
| ABBVIE INC. | $54 |
| Supernus Pharmaceuticals, Inc. | $26 |
| IDORSIA PHARMACEUTICALS US INC | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080513000377 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 18 | $0 |
Insurance plans in this area (ZIP 92160)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | CA | |
| Clinical Psychologist | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | SD | |
| P S Y C H I A T R Y | CA |
Reviews
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