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DR. VLADIMIR KOTELNIK M.D.
NPI 1174055479
Emergency Medicine in Stony Brook, NY

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
STONY BROOK UNIVERSITY HOSPITAL, HSC LEVEL 4, ROOM 176, STONY BROOK, NY 11794(631) 444-2084(631) 638-0069 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2020, Mar 28, 2017 (2 updates tracked since 2017).

About Dr. Vladimir Kotelnik M.d. NPPES

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

DR. VLADIMIR KOTELNIK M.D. (NPI 1174055479) is an individual emergency medicine provider in Stony Brook, New York, licensed in New York (304865) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174055479
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. VLADIMIR KOTELNIKCredential: M.D.
Location AddressSTONY BROOK UNIVERSITY HOSPITAL, HSC LEVEL 4, ROOM 176Stony Brook, NY 11794-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 444-2084
Fax(631) 638-0069
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1174055479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 304865
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
STONY BROOK UNIVERSITY HOSPITAL, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vladimir Kotelnik 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 ID143557801
PECOS Enrollment IDI20240307003487
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Vladimir Kotelnik reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Paragon Contracting Services LLC
908 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100
Gilford Sound Emergency Physicians LLC
1,001 mi
Emergency Medicine
1000 36TH ST
Vero Beach, FL 32960
  • Reassigned Medicare billing, Florida enrollment
  • 66 clinicians in this Medicare group
NPI 1760996300 (954) 939-5000
Em Alliance LLC
1,061 mi
Emergency Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 138 clinicians in this Medicare group
NPI 1922788959 (561) 203-0611
Emergency Medicine Services Of Fl, LLC
1,104 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
85 services84 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services59 patients

Hospital Affiliations CMS Care Compare 4

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

West Boca Medical Center

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100268
Location21644 State Rd 7Boca Raton, FL 33428 · Palm Beach County
Emergency services Birthing friendly

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Hca Florida University Hospital

Acute Care Hospitals · Davie, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100360
Location3476 S University DrDavie, FL 33328 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. BENJAMIN RICHARD HODSON M.D.
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
LUCAS JAMES MCARTHUR M.D.
Family Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
JEFF SEAN CHUANG MD
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
MISS SARAH ROSE PESTIEAU M.D.
Internal Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF MEDICINE HSC-T16 020
STONY BROOK, NY 11794
Suffolk County (631) 444-1106
DR. ELAINE FOX M.D.
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
DR. LAWRENCE WILLIAM KELLY JR. MD
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF EMERGENCY MEDICINE, HSC, L-4, ROOM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
MRS. SUZETTE CATHERINE SMOOKLER M.S., R.D., CDN
Dietitian, Registered
STONY BROOK UNIVERSITY HOSPITAL, NICOLLS ROAD, LEVEL 1 RM 747
STONY BROOK, NY 11794
Suffolk County (631) 444-7757
MRS. JANINE ELIZABETH ROMEO RPA-C
Physician Assistant
STONY BROOK UNIVERSITY HOSPITAL, 1 EDMUND PELLIGRINO DRIVE
STONY BROOK, NY 11794
Suffolk County (631) 444-1444

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 Vladimir Kotelnik's NPI number?

The NPI number for Vladimir Kotelnik is 1174055479. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Vladimir Kotelnik located?

Vladimir Kotelnik practices at Stony Brook University Hospital Hsc Level 4, Room 176, Stony Brook, NY 11794. The listed phone number is (631) 444-2084.

What is Vladimir Kotelnik's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vladimir Kotelnik enrolled in Medicare?

Yes. Vladimir Kotelnik 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.

Which organizations bill Medicare for Vladimir Kotelnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vladimir Kotelnik reassigns Medicare benefits to 4 organizations: Paragon Contracting Services LLC (Birmingham, AL), Gilford Sound Emergency Physicians LLC (Vero Beach, FL), Em Alliance LLC (Wellington, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vladimir Kotelnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vladimir Kotelnik accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Vladimir Kotelnik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vladimir Kotelnik affiliated with any hospitals?

According to CMS data, Vladimir Kotelnik is affiliated with Cleveland Clinic Indian River Hospital, West Boca Medical Center, Wellington Regional Medical Center and Hca Florida University Hospital.

When was this NPI record last updated?

The NPPES record for Vladimir Kotelnik was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.