DR. PAUL THOMAS KOTZBAUER MD
NPI 1568488872
Psychiatry & Neurology - Neurology in Saint Louis, MO

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4921 PARKVIEW PL, DIV NEUROLOGY MOVEMENT DISORDERS, 7TH FL, SAINT LOUIS, MO 63110(314) 362-6908(314) 747-3258 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 3 more (6 updates tracked since 2015).

About Dr. Paul Thomas Kotzbauer Md NPPES

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

DR. PAUL THOMAS KOTZBAUER MD (NPI 1568488872) is an individual neurology provider in Saint Louis, Missouri, licensed in Missouri (2005007060) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1997).

NPPES Registry Identity

NPI1568488872
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PAUL THOMAS KOTZBAUERCredential: MD
Location Address4921 PARKVIEW PL, DIV NEUROLOGY MOVEMENT DISORDERS, 7TH FLSaint Louis, MO 63110-1032
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-6908 · Fax (314) 747-3258
Fax(314) 747-3258
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1997
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
✔ NPI 1568488872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MO · 2005007060
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4921 PARKVIEW PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid207356908MO

Accepted Insurance

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 Thomas Kotzbauer 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 ID6709811805
PECOS Enrollment IDI20050928000035
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 3

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 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.
67 services48 patients
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.
29 services26 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
4 suppliers28 claims868 services$27.42 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
1 supplier12 claims12 services$82.58 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
5 suppliers31 claims1,207 services$167.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110
Internal Medicine
4921 PARKVIEW PL, STE 5A
SAINT LOUIS, MO 63110

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 Paul Kotzbauer's NPI number?

The NPI number for Paul Kotzbauer is 1568488872. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Paul Kotzbauer located?

Paul Kotzbauer practices at 4921 Parkview Pl Div Neurology Movement Disorders, 7th Fl, Saint Louis, MO 63110. The listed phone number is (314) 362-6908.

What is Paul Kotzbauer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paul Kotzbauer enrolled in Medicare?

Yes. Paul Kotzbauer 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.

What insurance does Paul Kotzbauer accept?

Health plans from Cox HealthPlans list Paul Kotzbauer 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 Paul Kotzbauer was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.