KEVIN G. KOTH (D.O.) – Orthopaedic Surgery Physician, NPI 1972798049
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for KEVIN G. KOTH (D.O.)
12866 TROXLER AVE
HIGHLAND, IL 622492806
Phone: (618) 900-1070
Fax: (833) 992-2437
Type: Location
6, Mardis Court, Troy, Madison County, Illinois, 62294, United States
TROY, IL 622941835
Phone: (330) 442-5815
Type: Mailing
HSHS St. Joseph's Hospital - Breese, 9515, Holy Cross Lane, Breese, Clinton County, Illinois, 60050, United States
BREESE, IL 622303618
Phone: (330) 442-5815
Type: Location
9515 Holy Cross Ln Ste 2
Breese, IL 622303618
Phone: (618) 900-1070
Type: Location
650 W Taylor St
Vandalia, IL 624711227
Phone: (618) 283-5531
Type: Location
400 Maple Summit Rd
Jerseyville, IL 620522028
Phone: (186) 498-8472
Fax: (618) 498-8461
Type: Location
9515 HOLY CROSS LN STE 2
BREESE, IL 622303618
Phone: (618) 900-1070
Type: Location
PO BOX 160
TROY, IL 622940160
Phone: (618) 900-1070
Fax: (833) 992-2437
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $4,284.
Total Amount is formed as General ($4,284) + Research ($0) + Ownership ($0) = $4,284.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Stryker Corporation ($2,812).
Total Amount
$4,284
General + Research + Ownership
Payments
48
Total payment records
General Amount
$4,284
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $2,812 |
| International Life Sciences | $694 |
| Elite Orthopedics, Llc | $331 |
| Cerapedics Inc. | $219 |
| Amgen Inc. | $105 |
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: 2013-08-13
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 |
|---|---|---|---|---|
| I20130813000526 | I | Orthopedic Surgery | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 65 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 54 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 23 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 62249)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | NY | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Cardiovascular Disease (Cardiology) | MO | |
| G A S T R O E N T E R O L O G Y | MO | |
| - | NC | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL |
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