CHARLES VLADIMIR KOTAL (M.D.) – Internal Medicine Physician, NPI 1104888361
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
Provider Addresses for CHARLES VLADIMIR KOTAL (M.D.)
528 Myrtle St
LA CONNER, WA 98257
Phone: (360) 466-3136
Fax: (360) 466-0107
Type: Location
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
EVERETT, WA 982065127
Phone: (360) 293-4343
Fax: (360) 588-1587
Type: Mailing
912, 32nd Street, Anacortes, Skagit County, Washington, 98221, United States
STE A
ANACORTES, WA 98221
Phone: (360) 416-5750
Fax: (360) 416-5758
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-03-28
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 |
|---|---|---|---|---|
| I20050328000306 | I | Internal Medicine | WA | 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 |
|---|---|---|---|---|
| 76706 | Ultrasound scan of abdominal aorta | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98257)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WA | 20610 | Aspiration and/or injection of large joint or joint capsule | 20 | 19 |
| INTERNAL MEDICINE | WA | 85610 | Blood test, clotting time | 338 | 124 |
| INTERNAL MEDICINE | WA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 241 | 200 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists) | FL | |
| - | WA | |
| - | NV | |
| Family Practice | OR | |
| - | WA | |
| - | WA | |
| - | WA | |
| Family Practice | MT |
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