COTY KALBACH (PA-C) – Medical Physician Assistant, NPI 1093167272

COTY KALBACH (PA-C) is a healthcare provider. based in Glen mills, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00927900 (NJ). The NPI Number for COTY KALBACH (PA-C) is 1093167272

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
COTY KALBACH (PA-C)
NPI
1093167272
Phone
(484) 332-0421
Address
3214 ELLIS DR
Enumeration Date
12 July 2016
Last Update Date
6 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7324567777
Graduation Year
2016 (10 years ago)
PAC ID
2668986183
Group Practice PAC ID
9931492287
Professional Enrollment ID
I20250708001776
Address ID
NJ080622665MU507XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for COTY KALBACH (PA-C)

  • 3214 ELLIS DR

    GLEN MILLS, PA 193423410

    Phone: (484) 332-0421

    Type: Mailing

  • 1141 MANTUA PIKE

    WEST DEPTFORD, NJ 080511608

    Phone: (732) 456-7777

    Fax: (732) 200-1056

    Type: Location

  • 1151 E HECTOR ST APT 412

    CONSHOHOCKEN, PA 194280037

    Phone: (484) 332-0421

    Type: Mailing

  • Yorklyn Road, Meeting House Meadows, Hockessin, Delaware, New Castle County, Delaware, 19707, United States

    HOCKESSIN, DE 197078740

    Phone: (302) 235-2351

    Fax: (302) 235-2365

    Type: Location

  • 507 Mullica Hill Rd

    Mullica Hill, NJ 080622665

    Phone: (732) 456-7777

    Fax: (732) 200-1056

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($153).

Total Amount

$197

General + Research + Ownership

Payments

3

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2025-07-08

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
I20250708001776IPhysician AssistantNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19342)

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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: 9931492287View full group profile
NameSpecialtyState
Physician AssistantNJ
Nurse PractitionerNJ
Physician AssistantNJ
D E R M A T O L O G YNJ
P A T H O L O G YNJ
Physician AssistantNJ
Physician AssistantNJ
Nurse PractitionerNJ
Physician AssistantPA
Dermatology, PathologyNJ

Reviews

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Frequently asked questions

How is COTY KALBACH (PA-C) identified in CMS data?
CMS-hosted NPPES data lists COTY KALBACH (PA-C) with NPI 1093167272.
Does the file indicate COTY KALBACH (PA-C) is practicing under active NPI?
Directory data currently reports COTY KALBACH (PA-C) as active.
What is COTY KALBACH (PA-C) best known for clinically?
Directory data describes COTY KALBACH (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is COTY KALBACH (PA-C) based?
COTY KALBACH (PA-C) is tied to Glen Mills, Pennsylvania in the data we show; additional addresses may exist on the full record.
Why does COTY KALBACH (PA-C) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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