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DR. JONATHAN ALLEN KORETOFF M.D.
NPI 1346668779
Family Medicine - Sports Medicine in San Diego, CA

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
10505 SORRENTO VALLEY RD STE 200, SAN DIEGO, CA 92121(858) 793-7860 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2025, Aug 22, 2018 (2 updates tracked since 2018).

About Dr. Jonathan Allen Koretoff M.d. NPPES

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

DR. JONATHAN ALLEN KORETOFF M.D. (NPI 1346668779) is an individual sports medicine provider in San Diego, California, licensed in California (A157665) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1346668779
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. JONATHAN ALLEN KORETOFFCredential: M.D.
Location Address10505 SORRENTO VALLEY RD STE 200San Diego, CA 92121-1619
Mailing Address10505 Sorrento Valley Rd Ste 200San Diego, CA 92121-1619 · (858) 793-7860
Phone(858) 793-7860
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2014
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1346668779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A157665
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
10505 SORRENTO VALLEY RD STE 200, San Diego, CA 92121
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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. Jonathan Allen Koretoff 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 ID9335448182
PECOS Enrollment IDI20180912003407
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

2

Medicare enrollment records show Jonathan Koretoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sd Sports Medicine And Family Health Center
13 mi
Multi-Specialty
6699 ALVARADO RD, STE 2100
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 41 clinicians in this Medicare group
NPI 1669472510 (619) 229-3909
Primary Care Sports Medicine A Medical Corporation
124 mi
Sports Medicine
29229 CANWOOD ST STE 112
Agoura Hills, CA 91301
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1134274418 (818) 501-7276

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
203 services129 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

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 Jonathan Koretoff's NPI number?

The NPI number for Jonathan Koretoff is 1346668779. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Jonathan Koretoff located?

Jonathan Koretoff practices at 10505 Sorrento Valley Rd Ste 200, San Diego, CA 92121. The listed phone number is (858) 793-7860.

What is Jonathan Koretoff's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jonathan Koretoff enrolled in Medicare?

Yes. Jonathan Koretoff 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 Jonathan Koretoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Koretoff reassigns Medicare benefits to 2 organizations: Sd Sports Medicine And Family Health Center (San Diego, CA) and Primary Care Sports Medicine A Medical Corporation (Agoura Hills, CA). 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 Jonathan Koretoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Koretoff was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.