Paul Koltovich, MD
NPI 1396719027 · Internal Medicine Physician · Mount Vernon, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Koltovich, MD is a Internal Medicine Physician provider in Mount Vernon, NY (NPI 1396719027).
Provider details
- NPI number
- 1396719027
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 185987-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
295 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 121 | $104 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 62 | $35 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $146 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 28 | $16 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 23 | $128 |
| Urinalysis, Manual Test81002 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 105 | 95 |
| Prednisone | 60 | 56 |
| Amoxicillin | 40 | 38 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 40 | 36 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 34 | 27 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 21 | 21 |
| Nirmatrelvir/Ritonavir |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$44 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2007-10-09
Frequently asked questions
- What is Paul Koltovich's NPI number?
- Paul Koltovich's National Provider Identifier (NPI) is 1396719027, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Koltovich's specialty?
- Paul Koltovich is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Koltovich located?
- Paul Koltovich's practice location on file with NPPES is 12 N 7th Ave, Mount Vernon, NY 10550-2026.
- What is Paul Koltovich's phone number?
- The practice phone number listed in the NPPES registry for Paul Koltovich is (914) 664-8000.
- Does Paul Koltovich accept Medicare?
- Paul Koltovich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Koltovich's NPI active?
- Yes — Paul Koltovich's NPI (1396719027) is active in the NPPES registry as of the last update on 2007-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.