GLENN E KOTZ (MD) – Family Medicine Physician, NPI 1417943366

GLENN E KOTZ (MD) is a healthcare provider. based in Basalt, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. CO30756 (CO). The NPI Number for GLENN E KOTZ (MD) is 1417943366

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
GLENN E KOTZ (MD)
NPI
1417943366
Phone
(970) 927-6101
Address
1450 E VALLEY RD
Enumeration Date
26 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9709274666207
Graduation Year
1987 (39 years ago)
PAC ID
0446232813
Group Practice PAC ID
2668577081
Professional Enrollment ID
I20040818000598
Address ID
CO816218352BA1450XRDXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for GLENN E KOTZ (MD)

  • 1450, East Valley Road, Willits, Basalt, Eagle County, Colorado, 81621, United States

    SUITE 101

    BASALT, CO 816218304

    Phone: (970) 927-6101

    Fax: (970) 927-6888

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $618.

Total Amount is formed as General ($618) + Research ($0) + Ownership ($0) = $618.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($138).

Total Amount

$618

General + Research + Ownership

Payments

29

Total payment records

General Amount

$618

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040818000598IFamily PracticeCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,057321$0
36415Insertion of needle into vein for collection of blood sample560291$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report219199$0
99213Established patient office or other outpatient visit, 20-29 minutes208141$0
99215Established patient office or other outpatient visit, 40-54 minutes197137$0
View full utilization report →

Insurance plans in this area (ZIP 81621)

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Provider's Procedures

GLENN E KOTZ (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECO20610Aspiration and/or injection of large joint or joint capsule3019
FAMILY MEDICINECO83036Hemoglobin A1C level1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668577081View full group profile
NameSpecialtyState
Family PracticeCO

Reviews

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Frequently asked questions

What is the registry number for GLENN E KOTZ (MD)?
The registry entry for GLENN E KOTZ (MD) shows NPI 1417943366.
Quick check: is GLENN E KOTZ (MD) active?
Public NPPES data shows GLENN E KOTZ (MD) with an active NPI status right now.
What services align with GLENN E KOTZ (MD)'s listing?
GLENN E KOTZ (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit GLENN E KOTZ (MD) in Basalt, Colorado?
For routing, start with Basalt, Colorado for GLENN E KOTZ (MD), then verify phone and hours locally.
Who maintains GLENN E KOTZ (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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