DR. CHARLES JAY KOLLER (M.D.) – Specialist, NPI 1578571295
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,163 GENERAL SURGERY in FL
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Provider Addresses for DR. CHARLES JAY KOLLER (M.D.)
2055, Glenwood Drive, Winter Park, Orange County, Florida, 32792, United States
WINTER PARK, FL 327923307
Phone: (407) 645-3555
Fax: (407) 645-2555
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 4 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Smith+Nephew, Inc. ($33).
Total Amount
$95
General + Research + Ownership
Payments
4
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $33 |
| Pacira Pharmaceuticals Incorporated | $22 |
| Davol Inc. | $20 |
| CSL Behring | $20 |
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: 2010-12-07
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 |
|---|---|---|---|---|
| I20101207001232 | I | General 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 | 89 | 89 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 78 | 58 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 74 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 36 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 51 | 35 | $0 |
Insurance plans in this area (ZIP 32792)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Physician Assistant | FL |
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