DR. BOLESLAV KOTLYAR (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1386986669

DR. BOLESLAV KOTLYAR (MD) is a healthcare provider. based in Millburn, New Jersey. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 036.143658 (IL). The NPI Number for DR. BOLESLAV KOTLYAR (MD) is 1386986669

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. BOLESLAV KOTLYAR (MD)
NPI
1386986669
Phone
(973) 467-2020
Address
306 MAIN ST STE 2
Enumeration Date
25 March 2013
Last Update Date
16 August 2019

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
9734672020
Graduation Year
2013 (13 years ago)
PAC ID
2961763073
Group Practice PAC ID
2860492170
Professional Enrollment ID
I20190911000030
Address ID
NJ070411178MI306XXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:13State licenses:3Digital endpointsOther names

605 OPHTHALMOLOGY in NJ

Provider Addresses for DR. BOLESLAV KOTLYAR (MD)

  • 306 MAIN ST STE 2

    MILLBURN, NJ 070411178

    Phone: (973) 467-2020

    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)

CMS reports 66 Open Payments records for all available years, with a total value of $4,943.

Total Amount is formed as General ($4,943) + Research ($0) + Ownership ($0) = $4,943.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($2,474).

Total Amount

$4,943

General + Research + Ownership

Payments

66

Total payment records

General Amount

$4,943

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

View all Open Payments →|Open Payments Risk Radar →

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: 2019-09-11

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
I20190911000030IOphthalmologyNJTBD

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
J2777Injection, faricimab-svoa, 0.1 mg4,50012$0
92250Photography of the retina751390$0
67028Injection of drug into eye712175$0
J0178Injection, aflibercept, 1 mg68980$0
92014Established patient complete exam of visual system565270$0
View full utilization report →

Insurance plans in this area (ZIP 07041)

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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: 2860492170View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
Physician AssistantNJ
O P H T H A L M O L O G YNY
-NJ
O P H T H A L M O L O G YWI
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

What is the standard ID for DR. BOLESLAV KOTLYAR (MD) in the U.S.?
In the U.S., DR. BOLESLAV KOTLYAR (MD) is identified by NPI 1386986669.
Quick check: is DR. BOLESLAV KOTLYAR (MD) active?
Public NPPES data shows DR. BOLESLAV KOTLYAR (MD) with an active NPI status right now.
What services align with DR. BOLESLAV KOTLYAR (MD)'s listing?
DR. BOLESLAV KOTLYAR (MD)'s public classification highlights Retina Specialist (Ophthalmology) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BOLESLAV KOTLYAR (MD)?
DR. BOLESLAV KOTLYAR (MD) is associated with Millburn, New Jersey in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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