MR. JOSEPH J. KOTELNICKI (PA-C) – Surgical Physician Assistant, NPI 1255669552

MR. JOSEPH J. KOTELNICKI (PA-C) is a healthcare provider. based in Pittsfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1727 (MA). The NPI Number for MR. JOSEPH J. KOTELNICKI (PA-C) is 1255669552

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSEPH J. KOTELNICKI (PA-C)
NPI
1255669552
Phone
(413) 499-6600
Address
24 PARK STREET
Enumeration Date
24 November 2009
Last Update Date
30 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4134996600
Graduation Year
2002 (24 years ago)
PAC ID
7214071984
Group Practice PAC ID
2567498363
Professional Enrollment ID
I20100218000408
Address ID
MA012010900PI24XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for MR. JOSEPH J. KOTELNICKI (PA-C)

  • 24, Park Street, Pittsfield, Berkshire County, Massachusetts, 01201, United States

    PITTSFIELD, MA 01201

    Phone: (413) 499-6600

    Fax: (413) 442-0744

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-02-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100218000408IPhysician AssistantMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27447Replacement of knee joint, both sides of knee3131$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 01201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567498363View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
-MA
Orthopedic SurgeryMA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMA
Physician AssistantMA
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Hand Surgery, Orthopedic SurgeryNH
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What NPI should I save for MR. JOSEPH J. KOTELNICKI (PA-C)?
Save NPI 1255669552 if you need a stable reference for MR. JOSEPH J. KOTELNICKI (PA-C).
Is MR. JOSEPH J. KOTELNICKI (PA-C)'s NPI currently valid?
The extract we use shows MR. JOSEPH J. KOTELNICKI (PA-C) as active.
What kind of provider is MR. JOSEPH J. KOTELNICKI (PA-C)?
The page reflects Surgical Physician Assistant for MR. JOSEPH J. KOTELNICKI (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for MR. JOSEPH J. KOTELNICKI (PA-C)?
We surface Pittsfield, Massachusetts for MR. JOSEPH J. KOTELNICKI (PA-C) based on available NPPES addresses.
What if Pittsfield, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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