JAMES DAVID KOTICK (MD) – Plastic and Reconstructive Surgery Physician, NPI 1336438704
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
474 PLASTIC AND RECONSTRUCTIVE SURGERY in FL
Provider Addresses for JAMES DAVID KOTICK (MD)
2020 59th St W
Bradenton, FL 342094604
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
PO BOX 3725
AUGUSTA, GA 309143725
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Mailing
1561 LAKEFRONT DR UNIT 202
SARASOTA, FL 342401637
Phone: (941) 822-8955
Fax: (941) 822-8684
Type: Location
2020 59TH ST W
BRADENTON, FL 342094604
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $6,405.
Total Amount is formed as General ($6,405) + Research ($0) + Ownership ($0) = $6,405.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Davol Inc. ($2,880).
Total Amount
$6,405
General + Research + Ownership
Payments
31
Total payment records
General Amount
$6,405
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $2,880 |
| Integra LifeSciences Corporation | $2,569 |
| ABBVIE INC. | $568 |
| Musculoskeletal Transplant Foundation Inc. | $125 |
| Baxter Healthcare | $67 |
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: 2019-05-29
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 |
|---|---|---|---|---|
| I20190529001215 | I | Plastic And Reconstructive Surgery | FL | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 39 | 39 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 34209)
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