DANA MARJORIE KOTH PA-C
NPI 1275947962
Physician Assistant - Surgical in Glenview, IL
About Dana Marjorie Koth Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA MARJORIE KOTH PA-C (NPI 1275947962) is an individual surgical provider in Glenview, Illinois, licensed in Illinois (085005108) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Dana Marjorie Koth Pa-c 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILMedicare 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.
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.
GLENVIEW, IL 60026
GLENVIEW, IL 60026
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 Dana Koth's NPI number?
The NPI number for Dana Koth is 1275947962. It was assigned to this individual provider in the NPPES registry on June 20, 2014.
Where is Dana Koth located?
Dana Koth practices at 2100 Pfingsten Rd, Glenview, IL 60026. The listed phone number is (847) 657-5800.
What is Dana Koth's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Dana Koth enrolled in Medicare?
Yes. Dana Koth 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 Dana Koth affiliated with any hospitals?
According to CMS data, Dana Koth is affiliated with Northshore University Healthsystem - Evanston Hospital.
When was this NPI record last updated?
The NPPES record for Dana Koth was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dana Marjorie Koth, PA-C · NPI 1275947962
Surgical physician in Glenview, Illinois. Individual provider, active in the CMS NPPES registry since June 20, 2014.
## Identity
- **NPI:** 1275947962 (Entity type: Individual)
- **Enumerated:** June 20, 2014
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 085005108 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 PFINGSTEN RD, Glenview, IL 60026-1301
- **Phone:** (847) 657-5800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275947962) · Data from the CMS NPPES public registry.