POTHEN C KORUTH (MD) – Internal Medicine Physician, NPI 1093768400

POTHEN C KORUTH (MD) is a healthcare provider. based in Lake mary, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME0072112 (FL). The NPI Number for POTHEN C KORUTH (MD) is 1093768400

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
POTHEN C KORUTH (MD)
NPI
1093768400
Phone
(407) 333-3303
Address
758 N SUN DR
Enumeration Date
18 May 2006
Last Update Date
16 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073333303
Graduation Year
1984 (42 years ago)
PAC ID
0042276065
Professional Enrollment ID
I20041201001091
Address ID
FL327462599LA758XXDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

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Provider Addresses for POTHEN C KORUTH (MD)

  • 758, Sun Drive, Lake Mary, Seminole County, Florida, 32746, United States

    ST # 104

    LAKE MARY, FL 327462599

    Phone: (407) 333-3303

    Fax: (407) 333-3342

    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 9 Open Payments records for all available years, with a total value of $634.

Total Amount is formed as General ($634) + Research ($0) + Ownership ($0) = $634.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($237).

Total Amount

$634

General + Research + Ownership

Payments

9

Total payment records

General Amount

$634

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

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: 2004-12-01

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
I20041201001091IInternal MedicineFLTBD

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 minutes393169$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit111111$0
99213Established patient office or other outpatient visit, 20-29 minutes7446$0
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage6665$0
G0008Administration of influenza virus vaccine6665$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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Provider's Procedures

POTHEN C KORUTH (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL81002Urinalysis, manual test1212
INTERNAL MEDICINEFL85610Blood test, clotting time14727

Reviews

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Frequently asked questions

What is the registry number for POTHEN C KORUTH (MD)?
The registry entry for POTHEN C KORUTH (MD) shows NPI 1093768400.
Does the public listing show POTHEN C KORUTH (MD) as active?
POTHEN C KORUTH (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits POTHEN C KORUTH (MD)?
NPPES ties POTHEN C KORUTH (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to POTHEN C KORUTH (MD)?
POTHEN C KORUTH (MD) shows a connection to Lake Mary, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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