Active NPI
Jeffrey Cotter, M.D.
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1861811085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-46258
- Practice address
- 3730 N Ridge Rd
Wichita, KS 67205-1227 - Phone
- (316) 462-6200
- NPI assigned
- Apr 15, 2014
- Last updated
- Jul 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | R-11701 | IA | |
| Family Medicine Physician | 207Q00000X | 04-46258 | KS | Primary |
Addresses
Primary practice location
3730 N Ridge Rd
Wichita, KS 67205-1227
Mailing address
3730 N Ridge Rd
Ste 100
Wichita, KS 67205-1228
Phone (316) 462-6200
Other practice location 1
2501 Pierce St
Sioux City, IA 51104
Phone (712) 294-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3730 N Ridge Rd
Suite 100
Wichita, KS 67205-1228
Phone (316) 462-6200
Hospital & facility affiliations
- Ascension at Home
- Phoenix Home Care
- Specialized Home Care
- Wesley Medical Center
- Kingman Healthcare Center
- Ascension Via Christi Hospitals Wichita, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.15 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11701 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Family Physicians, LLC | Single Specialty | Current | Accepting new patients |
Locations
3730 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 462-6200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1982607701
Single Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
-
dba Kingman Healthcare Center
- Critical Access Hospital
- Kingman, KS
- NPI 1285629956
-
dba Ascension at Home
- Home Health Agency
- Wichita, KS
- NPI 1235132119
-
dba Wesley Medical Center
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1861811085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 N RIDGE RD",
"address_2": "STE 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051228",
"telephone_number": "316-462-6200",
"fax_number": "316-462-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 N RIDGE RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051227",
"telephone_number": "316-462-6200"
}
],
"practiceLocations": [
{
"address_1": "2501 Pierce St",
"address_purpose": "LOCATION",
"city": "Sioux City",
"state": "IA",
"postal_code": "51104",
"country_code": "US",
"telephone_number": "712-294-5000",
"fax_number": "712-294-5091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COTTER",
"first_name": "JEFFREY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-11701",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-46258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.