JACK PETER KOTLARZ MD NPI 1922090646

NPI Details

Jack Peter Kotlarz, MD is a plastic surgery within the head and neck otolaryngology in Rockford, IL with 38 years of experience. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. Jack Peter Kotlarz, MD NPI is 1922090646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1987

The provider's business location address is:

1253 N ALPINE RD
ROCKFORD, IL
ZIP 61107-201
Phone: (779) 696-9201
Fax: (815) 397-9667

The NPI 1922090646 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Test for allergy using allergenic extract (HCPCS:95004)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Test for allergy using allergenic extract injected into skin (HCPCS:95024)
• Professional service for multiple injections of allergen (HCPCS:95117)
• Removal of impacted ear wax (HCPCS:69210)
• Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
• Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
• Removal or destruction of growth of nose through nose (HCPCS:30117)
• Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
• Simple control of nose bleed (HCPCS:30901)
• Destruction of surface soft tissue of nasal passages (HCPCS:30802)
• Test to assess middle ear function (HCPCS:92567)
• Dilation of nasal sinus using an endoscope (HCPCS:31295)
• Exam of the nose and throat using an endoscope (HCPCS:92511)
• Removal of foreign body in ear canal (HCPCS:69200)

The enumeration date for this NPI number is 8/18/2005 and was last updated on 12/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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