DR. PAUL WILLIAM KOLTOVICH MD
NPI 1396719027
Internal Medicine in Mount Vernon, NY

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
12 N 7TH AVE, MOUNT VERNON, NY 10550(914) 664-8000(914) 664-8015 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Paul William Koltovich Md NPPES

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

DR. PAUL WILLIAM KOLTOVICH MD (NPI 1396719027) is an individual internal medicine provider in Mount Vernon, New York, licensed in New York (185987-1) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1396719027
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL WILLIAM KOLTOVICHCredential: MD
Location Address12 N 7TH AVEMount Vernon, NY 10550-2026
Mailing Address12 N 7th AveMount Vernon, NY 10550-2026 · (914) 664-8000 · Fax (914) 664-8015
Fax(914) 664-8015
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 17, 2006
Last NPPES UpdateOctober 9, 2007
NPI 1396719027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 185987-1
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12 N 7TH AVE, Mount Vernon, NY 10550

Other Identifiers 3

Medicare UPINF20934
Medicaid01265558NY
Medicare PIN13G851NY

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

Dr. Paul William Koltovich 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 ID4385810258
PECOS Enrollment IDI20111223000010
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
208 services161 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
157 services131 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
79 services79 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
41 services39 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services27 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
25 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10550 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Internal Medicine (Cardiovascular Disease)
12 N 7TH AVE
MOUNT VERNON, NY 10550
Psychiatry & Neurology (Psychiatry)
12 N 7TH AVE
MOUNT VERNON, NY 10550
Dietitian, Registered
12 N 7TH AVE
MOUNT VERNON, NY 10550
Dietitian, Registered
12 N 7TH AVE
MOUNT VERNON, NY 10550
Clinic/Center
12 N 7TH AVE
MOUNT VERNON, NY 10550
Nurse Practitioner (Family)
12 N 7TH AVE
MOUNT VERNON, NY 10550
Surgery
12 N 7TH AVE
MOUNT VERNON, NY 10550
Emergency Medicine
12 N 7TH AVE
MOUNT VERNON, NY 10550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396719027, enumerated as an "individual" on February 17, 2006.

The provider is located at 12 N 7TH AVE MOUNT VERNON, NY 10550 and the phone number is (914) 664-8000.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.