KELLY KLOTZ
NPI 1629428099
Internal Medicine in Fort Collins, CO

Q: What is Kelly Klotz's NPI number?

The NPI number for Kelly Klotz is 1629428099. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Q: What is Kelly Klotz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Klotz was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment

4674 SNOW MESA DR STE 200, FORT COLLINS, CO 80528(970) 266-3650(970) 266-3660 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2020, Jun 16, 2016 (2 updates tracked since 2016).

On this page

About Kelly Klotz NPPES

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

KELLY KLOTZ (NPI 1629428099) is an individual internal medicine provider in Fort Collins, Colorado, licensed in Colorado (DR.0064144) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2016).

NPPES Registry Identity

NPI1629428099

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKELLY KLOTZ

Location Address4674 SNOW MESA DR STE 200Fort Collins, CO 80528-8614

Mailing Address4674 Snow Mesa Dr Ste 200Fort Collins, CO 80528-8614 · (970) 266-3650 · Fax (970) 266-3660

Phone(970) 266-3650

Fax(970) 266-3660

Sole ProprietorYes

Medical School CMSMedical College Of WisconsinGraduated 2016

Enumeration DateJune 16, 2016

Last NPPES UpdateJune 17, 20202 updates tracked since enumeration

NPPES CertifiedJune 17, 2020

✔ NPI 1629428099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CO · DR.0064144✔ Licensed in IL · 125.069264

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.

Also ListedPediatricsTaxonomy 208000000X · License 125.069264 (IL), DR.0064144 (CO)

4674 SNOW MESA DR STE 200, Fort Collins, CO 80528

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Other Identifiers 1

Medicaid9000181978CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Kelly Klotz 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 ID4385936434

PECOS Enrollment IDI20200708002810

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 Reassignment

Medicare enrollment records show Kelly Klotz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Poudre Valley Medical Group, LLC

7.2 mi

General Practice

2695 ROCKY MOUNTAIN AVE STE 110
Loveland, CO 80538

Reassigned Medicare billing, Colorado enrollment
2,596 clinicians in this Medicare group

NPI 1225356868 (970) 624-4443

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 5

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 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.

173 services114 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.

139 services117 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

112 services112 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

14 services14 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80528 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 9

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

DR. KEVIN J O'TOOLE DO, MPH

Preventive Medicine (Occupational Medicine)