DR. GARY S KOTS OD
NPI 1205112893
Optometrist - Corneal and Contact Management in Rosebud, SD

Active since October 26, 2011PECOS EnrolledAccepts Medicare Assignment
400 SOLDIER CREEK DR, ROSEBUD, SD 57570(605) 747-0481 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gary S Kots Od NPPES

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

DR. GARY S KOTS OD (NPI 1205112893) is an individual corneal and contact management provider in Rosebud, South Dakota, licensed in Michigan (4901003171) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1205112893
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. GARY S KOTSCredential: OD
Location Address400 SOLDIER CREEK DRRosebud, SD 57570-8502
Mailing AddressPo Box 1201Pine Ridge, SD 57770-1201 · (605) 867-3224
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateOctober 26, 2011
Last NPPES UpdateMay 9, 2019
✔ NPI 1205112893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in MI · 4901003171
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X · License 4901003171 (MI)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 4901003171 (MI)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 4901003171 (MI)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 4901003171 (MI)
400 SOLDIER CREEK DR, Rosebud, SD 57570

Accepted 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. Gary S Kots Od 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 ID8022284025
PECOS Enrollment IDI20250321003257
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 Gary Kots reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Clinic/Center
119 SOUTH 1ST AVENUE
Martin, SD 57551
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
General Acute Care Hospital
JUNCTION OF HWY 371, NAVAJO RT9
Crownpoint, NM 87313
  • Reassigned Medicare billing, Texas enrollment
  • 265 clinicians in this Medicare group
Optometrist
1555 BRADY ST
Chesaning, MI 48616
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57570 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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 15

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

Pharmacist
400 SOLDIER CREEK DR
ROSEBUD, SD 57570
Student in an Organized Health Care Education/Training Program
400 SOLDIER CREEK DR
ROSEBUD, SD 57570
Pharmacist
400 SOLDIER CREEK DR
ROSEBUD, SD 57570
Nurse Practitioner
400 SOLDIER CREEK DR
ROSEBUD, SD 57570
Physician Assistant
400 SOLDIER CREEK DR
ROSEBUD, SD 57570
Dentist (General Practice)
400 SOLDIER CREEK DR
ROSEBUD, SD 57570
Internal Medicine
400 SOLDIER CREEK DR
ROSEBUD, SD 57570
Emergency Medicine
400 SOLDIER CREEK DR
ROSEBUD, SD 57570

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 Gary Kots's NPI number?

The NPI number for Gary Kots is 1205112893. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Where is Gary Kots located?

Gary Kots practices at 400 Soldier Creek Dr, Rosebud, SD 57570. The listed phone number is (605) 747-0481.

What is Gary Kots's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Gary Kots enrolled in Medicare?

Yes. Gary Kots 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 Gary Kots's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Kots reassigns Medicare benefits to 4 organizations: Rosebud Indian Health Service (Rosebud, SD), Pine Ridge Indian Health Service Hospital (Martin, SD), Dhhs Phs Naihs Crownpoint Hospital (Crownpoint, NM) and Aeg Michigan Professional LLC (Chesaning, MI). 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 Gary Kots's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Kots accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 12 other insurers list Gary Kots 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.

When was this NPI record last updated?

The NPPES record for Gary Kots was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.