DR. RICHARD M KOOTMAN M.D. P.C. NPI 1700896149

NPI Details

DR. Richard M Kootman, M.D., P.C. is a specialist in Peoria, AZ with 42 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Richard M Kootman, M.D., P.C. NPI is 1700896149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1984

The provider's business location address is:

13943 N 91ST AVE BLDG G
PEORIA, AZ
ZIP 85381-687
Phone: (623) 561-1995
Fax: (623) 561-2446

The NPI 1700896149 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 CLIA number assigned to this NPI record is 03D2072438 - physician office with a certificate type of Certificate of Waiver.

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.

• Microfluid analysis of tears (HCPCS:83861)
• Established patient problem focused exam of visual system (HCPCS:92012)
• Established patient complete exam of visual system (HCPCS:92014)
• Photography of the retina (HCPCS:92250)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Measurement of corneal curvature and depth of eye (HCPCS:92136)
• Exam of visual field with extended testing (HCPCS:92083)
• Ultrasound scan of cornea to determine thickness (HCPCS:76514)
• Imaging of retina (HCPCS:92134)
• Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
• Imaging of optic nerve (HCPCS:92133)
• Ct scan of cornea (HCPCS:92025)
• Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
• Imaging of front third of eye using a special microscope (HCPCS:92286)
• Exam of the internal drainage system of eye (HCPCS:92020)
• Fitting of contact lens for treatment of eye surface disease (HCPCS:92071)
• Placement of amniotic membrane on eye surface for wound healing (HCPCS:65778)
• Removal of growth of cornea (HCPCS:65400)
• Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
• Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 8/8/2006 and was last updated on 12/5/2007.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.