DR. JOHN KODATT (MD) – Family Medicine Physician, NPI 1083354039
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for DR. JOHN KODATT (MD)
1325 N Race St
Glasgow, KY 421413427
Phone: (270) 651-4865
Type: Location
712 Aviation Way
Caldwell, ID 836051154
Phone: (208) 302-7100
Fax: (208) 302-7155
Type: Location
1325 N RACE ST
GLASGOW, KY 421413427
Phone: (270) 651-4865
Type: Mailing
1510 12TH AVE RD STE 200
NAMPA, ID 836866946
Phone: (208) 302-6800
Fax: (208) 302-6855
Type: Location
PO BOX 190930
BOISE, ID 837190930
Phone: (208) 302-9342
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Janssen Biotech, Inc. ($24).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $24 |
| Novo Nordisk Inc | $14 |
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: 2026-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240201003841 | I | Emergency Medicine | KY | TBD |
| I20250424003205 | I | Family Practice | ID | TBD |
| I20260116000372 | I | Family Practice | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42141)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Family Practice | SC | |
| Nurse Practitioner | KY | |
| Internal Medicine | NJ | |
| Family Practice | KY | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | KY | |
| Emergency Medicine | KY | |
| Family Practice | KY | |
| Physician Assistant | TN |
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.