JOHN RADCLIFFE KOTHMANN (M.D.) – Family Medicine Physician, NPI 1780624502
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for JOHN RADCLIFFE KOTHMANN (M.D.)
Fredericksburg, Fredericksburg City, Virginia, United States
FREDERICKSBURG, TX 786245058
Phone: (830) 997-2181
Fax: (830) 997-9598
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 1 Open Payments records for all available years, with a total value of $1.
Total Amount is formed as General ($1) + Research ($0) + Ownership ($0) = $1.
Last reported payment date: 2023-01-11 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($1).
Total Amount
$1
General + Research + Ownership
Payments
1
Total payment records
General Amount
$1
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $1 |
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: 2004-08-12
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 |
|---|---|---|---|---|
| I20040812000650 | I | Family Practice | TX | 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 | 808 | 412 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 745 | 462 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 703 | 434 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 668 | 435 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 661 | 76 | $0 |
Insurance plans in this area (ZIP 78624)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| Family Practice | TX |
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