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MR. JEFFREY JOHN KOTULSKI D.O.
NPI 1740386176
Neuromusculoskeletal Medicine & OMM in Mankato, MN

Active since September 15, 2006Opted out of Medicare · through Jan 1, 2028
45 TETON LANE, MANKATO, MN 56001(507) 388-7488(507) 388-5680 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jeffrey John Kotulski D.o. NPPES

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

MR. JEFFREY JOHN KOTULSKI D.O. (NPI 1740386176) is an individual neuromusculoskeletal medicine & omm provider in Mankato, Minnesota, licensed in Minnesota (37416) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740386176
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameMR. JEFFREY JOHN KOTULSKICredential: D.O.
Location Address45 TETON LANEMankato, MN 56001
Mailing Address45 Teton LaneMankato, MN 56001 · (507) 388-7488 · Fax (507) 388-5680
Phone(507) 388-7488
Fax(507) 388-5680
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateFebruary 18, 2011
✔ NPI 1740386176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in MN · 37416
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 37416 (MN)
45 TETON LANE, Mankato, MN 56001
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Other Identifiers 3

Medicare ID-Type Unspecified120000066MN
Medicaid560320000MN
Medicare UPINF63604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jeffrey John Kotulski D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
1 supplier12 claims12 services$13.64 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
2 suppliers13 claims13 services$61.77 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

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

PATRICIA RUTH ANDERSON CNS
Registered Nurse (Psychiatric/Mental Health)
45 TETON LANE
MANKATO, MN 56001
Blue Earth County (507) 388-7488

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 Jeffrey Kotulski's NPI number?

The NPI number for Jeffrey Kotulski is 1740386176. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Jeffrey Kotulski located?

Jeffrey Kotulski practices at 45 Teton Lane, Mankato, MN 56001. The listed phone number is (507) 388-7488.

What is Jeffrey Kotulski's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Jeffrey Kotulski enrolled in Medicare?

No. Jeffrey Kotulski has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Kotulski was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.