DR. WAYNE ROBERT KOTZKER (MD) – Nephrology Physician, NPI 1124120019

DR. WAYNE ROBERT KOTZKER (MD) is a healthcare provider. based in Fort lauderdale, Florida. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. ME88119 (FL). The NPI Number for DR. WAYNE ROBERT KOTZKER (MD) is 1124120019

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE ROBERT KOTZKER (MD)
NPI
1124120019
Phone
(954) 463-0112
Address
407 SE 9TH ST
Enumeration Date
2 September 2006
Last Update Date
15 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544630112
Graduation Year
1994 (32 years ago)
PAC ID
4284762980
Group Practice PAC ID
4385925650
Professional Enrollment ID
I20100517000212
Address ID
FL333161113FO407XXSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

796 NEPHROLOGY in FL

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Provider Addresses for DR. WAYNE ROBERT KOTZKER (MD)

  • 407, Southeast 9th Street, Fort Lauderdale, Broward County, Florida, 33316, United States

    SUITE 103

    FORT LAUDERDALE, FL 333161113

    Phone: (954) 463-0112

    Fax: (954) 463-0117

    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 384 Open Payments records for all available years, with a total value of $206,722.

Total Amount is formed as General ($206,722) + Research ($0) + Ownership ($0) = $206,722.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($37,315).

Total Amount

$206,722

General + Research + Ownership

Payments

384

Total payment records

General Amount

$206,722

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2010-05-17

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
I20100517000212INephrologyFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes929332$0
99214Established patient office or other outpatient visit, 30-39 minutes878400$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes298132$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)26141$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes216199$0
View full utilization report →

Insurance plans in this area (ZIP 33316)

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Provider's Procedures

DR. WAYNE ROBERT KOTZKER (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYFL90935Hemodialysis procedure with one physician evaluation5838
NEPHROLOGYFL90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older2321

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: 4385925650View full group profile
NameSpecialtyState
N E P H R O L O G YFL
Nephrology, Internal MedicineFL
N E P H R O L O G YFL
N E P H R O L O G YFL
Nephrology, Internal MedicineFL
N E P H R O L O G YFL
Nurse PractitionerFL
Internal Medicine, NephrologyFL
Nephrology, Internal MedicineFL
N E P H R O L O G YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. WAYNE ROBERT KOTZKER (MD)?
DR. WAYNE ROBERT KOTZKER (MD) — NPI 1124120019 — is the standard way to identify this listing.
Can I rely on DR. WAYNE ROBERT KOTZKER (MD) being an active provider?
As of the registry snapshot, DR. WAYNE ROBERT KOTZKER (MD) is marked active.
What is DR. WAYNE ROBERT KOTZKER (MD) best known for clinically?
Directory data describes DR. WAYNE ROBERT KOTZKER (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. WAYNE ROBERT KOTZKER (MD) on a map?
Expect Fort Lauderdale, Florida as a primary anchor for DR. WAYNE ROBERT KOTZKER (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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