JEANETTE DILAN-KOETJE (D.O.) – Internal Medicine Physician, NPI 1538499454
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
Provider Addresses for JEANETTE DILAN-KOETJE (D.O.)
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
Phone: (573) 348-8000
Type: Mailing
304A E 4TH ST
ELDON, MO 650261808
Phone: (573) 392-5654
Type: Location
206, Tom Miller Road, Plattsburgh, Clinton County, New York, 12901, United States
CLINTON, AR 720310206
Phone: (501) 745-9524
Fax: (501) 745-9741
Type: Mailing
Corinth, Alcorn County, Mississippi, United States
CORINTH, MS 388349321
Phone: (662) 293-1680
Type: Location
6975 OVERSEAS HWY APT 33
MARATHON, FL 330503567
Phone: (352) 848-5260
Type: Mailing
3301 OVERSEAS HWY
MARATHON, FL 330502398
Phone: (305) 434-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,113.
Total Amount is formed as General ($1,113) + Research ($0) + Ownership ($0) = $1,113.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($203).
Total Amount
$1,113
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $203 |
| Novo Nordisk Inc | $189 |
| ABBVIE INC. | $136 |
| Lilly USA, LLC | $136 |
| AstraZeneca Pharmaceuticals LP | $75 |
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: 2023-09-15
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 |
|---|---|---|---|---|
| I20230915001328 | I | Internal Medicine | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 541 | 465 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 268 | 237 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 228 | 113 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 216 | 216 | $0 |
| 81003 | Automated urinalysis test | 177 | 162 | $0 |
Insurance plans in this area (ZIP 65065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| N E U R O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Hematology/Oncology, Internal Medicine | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO |
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