JUSTIN KLOTZ PA
NPI 1376323022
Physician Assistant - Surgical in Albany, NY

Active since October 02, 2023PECOS EnrolledAccepts Medicare Assignment
121 EVERETT RD, ALBANY, NY 12205(518) 489-2663 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2025, Aug 15, 2024, Dec 7, 2023 and 2 more (5 updates tracked since 2023).

About Justin Klotz Pa NPPES

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

JUSTIN KLOTZ PA (NPI 1376323022) is an individual surgical provider in Albany, New York, licensed in New York (031294) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376323022
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJUSTIN KLOTZCredential: PA
Location Address121 EVERETT RDAlbany, NY 12205-1474
Mailing Address121 Everett RdAlbany, NY 12205-1474 · (518) 489-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 2, 2023
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1376323022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 031294
Also ListedPhysician AssistantTaxonomy 363A00000X
121 EVERETT RD, Albany, NY 12205

Secondary Practice Locations 2

Location 15 Irongate CtrGlens Falls, NY 12801-3471 · Phone (518) 793-5034
Location 25151 Park AveFairfield, CT 06825-1090 · Phone (518) 369-7168

Other Identifiers 1

Medicaid07860539NY

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

Justin Klotz Pa 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 ID4486094125
PECOS Enrollment IDI20240429003182
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 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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
43 services25 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

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.

Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Nurse Practitioner (Adult Health)
121 EVERETT RD
ALBANY, NY 12205
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Physical Therapist
121 EVERETT RD
ALBANY, NY 12205
Orthopaedic Surgery
121 EVERETT RD
ALBANY, NY 12205
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Physician Assistant (Surgical)
121 EVERETT RD
ALBANY, NY 12205
Physical Therapist
121 EVERETT RD
ALBANY, NY 12205

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 Justin Klotz's NPI number?

The NPI number for Justin Klotz is 1376323022. It was assigned to this individual provider in the NPPES registry on October 2, 2023.

Where is Justin Klotz located?

Justin Klotz practices at 121 Everett Rd, Albany, NY 12205. The listed phone number is (518) 489-2663.

What is Justin Klotz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Justin Klotz enrolled in Medicare?

Yes. Justin Klotz 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 Justin Klotz affiliated with any hospitals?

According to CMS data, Justin Klotz is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Justin Klotz was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.