ANISHA DURGA KOTHARI (PA-C) – Physician Assistant, NPI 1245827856
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for ANISHA DURGA KOTHARI (PA-C)
415 S LANDMARK AVE
BLOOMINGTON, IN 474035003
Phone: (812) 932-2387
Fax: (812) 222-0104
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 140 Open Payments records for all available years, with a total value of $6,251.
Total Amount is formed as General ($6,251) + Research ($0) + Ownership ($0) = $6,251.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($724).
Total Amount
$6,251
General + Research + Ownership
Payments
140
Total payment records
General Amount
$6,251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arcutis Biotherapeutics, Inc. | $724 |
| ABBVIE INC. | $562 |
| E.R. Squibb & Sons, L.L.C. | $511 |
| Incyte Corporation | $481 |
| Janssen Biotech, Inc. | $430 |
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: 2021-04-21
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 |
|---|---|---|---|---|
| I20210421001549 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 438 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 227 | 214 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 185 | 169 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 159 | 148 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 88 | 88 | $0 |
Insurance plans in this area (ZIP 47403)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IN | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | IN | |
| Dermatology, Neurology | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.