ERIC RUSSELL KOTAL MD
NPI 1194036368
Emergency Medicine in Beaver Dam, WI

Q: What is Eric Kotal's NPI number?

The NPI number for Eric Kotal is 1194036368. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Q: What is Eric Kotal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Kotal was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment

707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 887-6606 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eric Russell Kotal Md NPPES

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

ERIC RUSSELL KOTAL MD (NPI 1194036368) is an individual emergency medicine provider in Beaver Dam, Wisconsin, licensed in Michigan (4301097060) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of Southern Illinois University School Of Medicine (2010).

NPPES Registry Identity

NPI1194036368

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameERIC RUSSELL KOTALCredential: MD

Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027

Mailing Address100 Mcintosh DrBeaver Dam, WI 53916-9255 · (815) 450-8972

Phone(920) 887-6606

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2010

Enumeration DateJune 23, 2010

Last NPPES UpdateApril 21, 2017

✔ NPI 1194036368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 4301097060

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301097060 (MI)

707 S UNIVERSITY AVE, Beaver Dam, WI 53916

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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

Eric Russell Kotal Md 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 ID6002057106

PECOS Enrollment IDI20130801000701

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.

Areas of Expertise CMS Part B claims 3

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.

82 services74 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

41 services38 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.

25 services22 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520076

Location707 S University AveBeaver Dam, WI 53916 · Dodge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

BEAVER DAM COMMUNITY HOSPITALS INC

General Acute Care Hospital