Dr. Kevin G. Koth , DO
Orthopaedic Surgery โข Highland, IL
12866 Troxler Ave
Highland, IL 622492806
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Kevin Koth is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on September 11, 2007; this date does not establish years in practice.
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Published CMS data list 573 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 20610 โ Aspiration and/or injection of fluid from large joint: 160 service units.
- 99213 โ Established patient outpatient office visit: 159 service units.
- 99203 โ New patient outpatient office visit: 57 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 95 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 82 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: 1,621. Middle half: 500 to 4,448.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,449 in 2020 to 573 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
12866 Troxler Ave
Highland, IL 622492806
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 3 distinct additional practice-address records in Breese, IL; Jerseyville, IL; Vandalia, IL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 3 distinct group names: Jersey Community Hospital; Salem Township Hospital; Select Physical Therapy Holdings Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Ohio University, College Of Osteopathic Medicine
2007
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
333 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $70,224 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $53,074 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
95 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$856 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $578.31 across 9 records.
By nature of payment
- Food and Beverage: $578.31 across 9 records.
Reporting-company totals (3 largest of 4)
- Stryker Corporation: $521.03 across 6 records.
- Kerecis Limited: $21.40 across 1 record.
- OssDsign USA Incorporated: $17.97 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Koth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Koth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Highland and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: 1,621. Middle half: 500 to 4,448.
Too few clinicians listed under Orthopaedic Surgery in Highland have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: $106,401. Middle half: $38,278 to $219,003.
Too few clinicians listed under Orthopaedic Surgery in Highland have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: $80,480. Middle half: $28,943 to $165,509.
Too few clinicians listed under Orthopaedic Surgery in Highland have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 513 clinicians with data). Median for this group: 181. Middle half: 65 to 405.
Too few clinicians listed under Orthopaedic Surgery in Highland have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Orthopaedic Surgery in Illinois (2024, 513 clinicians with data). Median for this group: $1,214. Middle half: $335 to $3,174.
Too few clinicians listed under Orthopaedic Surgery in Highland have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Orthopaedic Surgery with a practice address in Highland, IL (997 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 60% from 1,449 in 2020 to 573 in 2024.
- 2020: 1,449
- 2021: 126
- 2022: 291
- 2023: 240
- 2024: 573
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Medicare-allowed amount
Medicare-allowed amount decreased 12% from $79,929 in 2020 to $70,224 in 2024.
- 2020: $79,929
- 2021: $6,504
- 2022: $66,150
- 2023: $24,677
- 2024: $70,224
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Paid by Medicare
Paid by Medicare varied from year to year: $57,936 in 2020 and $53,074 in 2024.
- 2020: $57,936
- 2021: $4,937
- 2022: $51,402
- 2023: $18,186
- 2024: $53,074
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 32% from 139 in 2019 to 95 in 2024.
- 2019: 139
- 2020: 65
- 2022: 42
- 2023: 86
- 2024: 95
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30-day fills
30-day fills decreased 32% from 139 in 2019 to 95 in 2024.
- 2019: 139
- 2020: 65
- 2022: 42
- 2023: 86
- 2024: 95
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Part D drug cost
Part D drug cost decreased 84% from $5,247 in 2019 to $856 in 2024.
- 2019: $5,247
- 2020: $730
- 2022: $456
- 2023: $703
- 2024: $856
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $214.80 in 2021 to $578.31 in 2025.
- 2021: $214.80
- 2022: $1,269.11
- 2023: $2,304.04
- 2024: $1,979.89
- 2025: $578.31
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $578.31.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
T2 ALPHA | General | $128.33 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
MAKO | General | $103.30 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
MAKO | General | $100.00 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
MAKO | General | $85.57 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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VARIAX | General | $72.34 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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MAKO | General | $31.49 |
| Kerecis Limited |
Food and Beverage
Cash or cash equivalent
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Kerecis SurgiClose | General | $21.40 |
| OssDsign USA Incorporated |
Food and Beverage
Cash or cash equivalent
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OSSDSIGN CATALYST | General | $17.97 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $17.91 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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20610
Aspiration and/or injection of fluid from large joint
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160 | 103 | $81.28 | $47.50 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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159 | 115 | $196.49 | $64.65 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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57 | 57 | $248.21 | $81.29 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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42 | 26 | $85.69 | $77.29 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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30 | 28 | $288.00 | $95.79 |
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20550
Injection into tendon or ligament
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21 | 16 | $74.57 | $37.09 |
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27245
Treatment of broken neck of thigh bone with bone implant
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21 | 21 | $2431.21 | $1239.94 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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20 | 20 | $141.85 | $109.57 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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19 | 19 | $231.74 | $129.20 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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18 | 18 | $386.61 | $128.17 |
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64721
Release and/or relocation of hand nerve
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15 | 13 | $1483.33 | $409.45 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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11 | 11 | $274.36 | $152.58 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 82 | 401 | $759.81 | 63 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 13 | 53 | $95.69 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-03-05NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207XS0117X
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20130813000526
IL
8123274917
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Salem Township Hospital
1201 Ricker Rd, Salem, IL 628814263
Phone: 61854831948188
Jersey Community Hospital
400 Maple Summit Rd, Jerseyville, IL 620522028
Phone: 6184986402
Select Physical Therapy Holdings Inc
326 E Main St, West Frankfort, IL 628962402
Phone: 6189376200
Secondary Practice Locations
650 W Taylor St
Vandalia, IL 624711227
Phone: 6182835531
400 Maple Summit Rd
Jerseyville, IL 620522028
Phone: 1864988472
9515 Holy Cross Ln Ste 2
Breese, IL 622303618
Phone: 6189001070
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Orthopaedic Surgery (license number reported to NPPES: IN 02003992A)
Registered at 12866 TROXLER AVE, HIGHLAND, IL 622492806 (Tel: 6189001070)
Orthopaedic Surgery (license number reported to NPPES: KY 03476)
Registered at 9515 HOLY CROSS LN STE 2, BREESE, IL 622303618 (Tel: 6189001070)
Orthopaedic Surgery (license number reported to NPPES: IN 02003992A)
Registered at PO BOX 160, TROY, IL 622940160 (Tel: 3304425815)
Orthopaedic Surgery (license number reported to NPPES: KY 03476)
Registered at 9515 HOLY CROSS LN, BREESE, IL 622303618 (Tel: 3304425815)
Registered at 6 MARDIS CT, TROY, IL 622941835 (Tel: 3304425815)
NPI status registered as active in NPPES database
Registered at 100 DR WARREN TUTTLE DR, HARRISBURG, IL 629462718 (Tel: 6189328375)
Registered at 100 DR WARREN TUTTLE DR, HARRISBURG, IL 629462718 (Tel: 6189328375)
Recorded as KEVIN KOTH, D.O.
Orthopaedic Surgery (license number reported to NPPES: IL 036132543)
NPI status registered as active in NPPES database
Registered at 510 LINCOLN DRIVE, HERRIN, IL 62948 (Tel: 6189976800)
Registered at 510 LINCOLN DRIVE, HERRIN, IL 62948 (Tel: 6189976800)
Recorded as KEVIN KOTH, D.O.
Orthopaedic Surgery (license number reported to NPPES: IL 036132543)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 160
Troy, IL 622940160
Phone: 6189001070