DAVID KOLLER – Colon & Rectal Surgery Physician, NPI 1417367517

DAVID KOLLER is a healthcare provider. based in Columbus, Ohio. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold a License No. CLP05173 (RI). The NPI Number for DAVID KOLLER is 1417367517

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DAVID KOLLER
NPI
1417367517
Phone
Not provided
Address
410 W 10TH AVE
Enumeration Date
29 April 2014
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
3103736864
Graduation Year
2014 (12 years ago)
PAC ID
8820306699
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20221130000795
Address ID
CA905054737TO23451STXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

133 COLORECTAL SURGERY (PROCTOLOGY) in OH

Provider Addresses for DAVID KOLLER

  • 410 W 10TH AVE

    N-714 DOAN HALL

    COLUMBUS, OH 432101240

    Phone:

    Type: Mailing

  • 593 Eddy St.

    APC 422

    Providence, RI 029034923

    Phone: (401) 606-8399

    Type: Location

  • 23451 MADISON ST STE 340

    TORRANCE, CA 905054762

    Phone: (310) 373-6864

    Type: Location

  • 593 EDDY ST.

    APC 422

    PROVIDENCE, RI 029034923

    Phone: (401) 606-8399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $9,573.

Total Amount is formed as General ($9,573) + Research ($0) + Ownership ($0) = $9,573.

Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($9,167).

Total Amount

$9,573

General + Research + Ownership

Payments

9

Total payment records

General Amount

$9,573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-11-30

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
I20221130000795IColorectal Surgery (Proctology)CATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6438$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5044$0
46600Diagnostic exam of anus using an endoscope3633$0
99213Established patient office or other outpatient visit, 20-29 minutes3428$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3118$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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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: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
A N E S T H E S I O L O G YNV
-CA
-CA
-CA
H O S P I T A L I S TCA
Infectious DiseaseCA
Plastic And Reconstructive SurgeryCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

How is DAVID KOLLER identified in CMS data?
CMS-hosted NPPES data lists DAVID KOLLER with NPI 1417367517.
Can I rely on DAVID KOLLER being an active provider?
As of the registry snapshot, DAVID KOLLER is marked active.
What is DAVID KOLLER's primary classification?
Colon & Rectal Surgery Physician is the headline specialty for DAVID KOLLER here. Clinical services aligned with this taxonomy classification.
What area does DAVID KOLLER serve?
DAVID KOLLER's listing highlights Columbus, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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