JEFFREY KLOTZ M.D.
NPI 1073258398
Family Medicine in Willsboro, NY

Active since May 02, 2022PECOS EnrolledAccepts Medicare Assignment
39 FARRELL RD, WILLSBORO, NY 12996(518) 963-4275 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2022, May 2, 2022 (2 updates tracked since 2022).

About Jeffrey Klotz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY KLOTZ M.D. (NPI 1073258398) is an individual family medicine provider in Willsboro, New York, licensed in New York (339586) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains a secondary practice location in Plattsburgh.

NPPES Registry Identity

NPI1073258398
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY KLOTZCredential: M.D.
Location Address39 FARRELL RDWillsboro, NY 12996-3904
Mailing Address159 Margaret St., Ste 100Plattsburgh, NY 12901 · (518) 314-3862
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 2, 2022
Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1073258398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 339586
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
39 FARRELL RD, Willsboro, NY 12996

Secondary Practice Location 1

Location 1159 Margaret St., Ste 100Plattsburgh, NY 12901 · Phone (518) 314-3862

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Klotz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870095805
PECOS Enrollment IDI20250908002772
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12996 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
39 FARRELL RD
WILLSBORO, NY 12996
Physician Assistant
39 FARRELL RD
WILLSBORO, NY 12996
Clinic/Center (Federally Qualified Health Center (FQHC))
39 FARRELL RD
WILLSBORO, NY 12996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Klotz's NPI number?

The NPI number for Jeffrey Klotz is 1073258398. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Jeffrey Klotz located?

Jeffrey Klotz practices at 39 Farrell Rd, Willsboro, NY 12996. The listed phone number is (518) 963-4275.

What is Jeffrey Klotz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeffrey Klotz enrolled in Medicare?

Yes. Jeffrey Klotz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jeffrey Klotz affiliated with any hospitals?

According to CMS data, Jeffrey Klotz is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Jeffrey Klotz was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.