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MRS. JESSICA M KOTLYAROV M.D.
NPI 1629323613
Internal Medicine in Boynton Beach, FL

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
9655 BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33472(561) 336-7000 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, May 13, 2019 (2 updates tracked since 2019).

About Mrs. Jessica M Kotlyarov M.d. NPPES

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

MRS. JESSICA M KOTLYAROV M.D. (NPI 1629323613) is an individual internal medicine provider in Boynton Beach, Florida, licensed in Florida (ME164861) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629323613
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. JESSICA M KOTLYAROVCredential: M.D.
Location Address9655 BOYNTON BEACH BLVDBoynton Beach, FL 33472-4421
Mailing Address1295 Ne 5th AveBoca Raton, FL 33432-2815 · (203) 558-0214
Phone(561) 336-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 17, 2012
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1629323613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME164861✔ Licensed in MS · 26098
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.
9655 BOYNTON BEACH BLVD, Boynton Beach, FL 33472
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Mrs. Jessica M Kotlyarov 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 ID547510307
PECOS Enrollment IDI20250409002053
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.

Hospital Affiliations CMS Care Compare 2

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33472 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers69 claims69 services$20.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers69 claims69 services$109.97 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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE LYNN OSBORNE PHARM.D., C.PH
Pharmacist
9655 BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33472
Palm Beach County (561) 336-7047
SANGEETHA SETTY M.D
Anesthesiology
9655 BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33472
Palm Beach County (501) 282-0953
SHERIDAN HEALTHCORP INC
Anesthesiology
9655 BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33472
Palm Beach County (561) 336-7000
COGENT HEALTHCARE OF PENSACOLA LLC
Internal Medicine
9655 BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33472
Palm Beach County (561) 336-7000
GABINO S CUEVAS MD PA
Pathology (Anatomic Pathology & Clinical Pathology)
9655 BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33472
Palm Beach County (561) 737-7733
JERRY GOMEZ ROSADO
Nurse Anesthetist, Certified Registered
9655 BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33472
Palm Beach County (561) 737-7733
DR. GEORGE SHENOUDA DO
Internal Medicine (Gastroenterology)
9655 BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33472
Palm Beach County (833) 692-2784
DR. MICHAEL WALTERS DPT
Physical Therapist
9655 BOYNTON BEACH BLVD
BOYNTON BEACH, FL 33472
Palm Beach County (305) 926-5686

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 Jessica Kotlyarov's NPI number?

The NPI number for Jessica Kotlyarov is 1629323613. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Jessica Kotlyarov located?

Jessica Kotlyarov practices at 9655 Boynton Beach Blvd, Boynton Beach, FL 33472. The listed phone number is (561) 336-7000.

What is Jessica Kotlyarov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jessica Kotlyarov enrolled in Medicare?

Yes. Jessica Kotlyarov 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 Jessica Kotlyarov accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jessica Kotlyarov 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.

Is Jessica Kotlyarov affiliated with any hospitals?

According to CMS data, Jessica Kotlyarov is affiliated with Bethesda Hospital Inc and Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Kotlyarov was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.