KEVIN G. KOTH D.O. – NPI #1972798049
Orthopaedic Surgery

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.

KEVIN KOTH is an orthopaedic surgeon located in HIGHLAND, IL. NPPES has assigned the NPI number 1972798049 to KEVIN KOTH on September 11, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was last updated on Mar 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN KOTH below.

NPI Profile for
KEVIN G. KOTH

NPI Number
1972798049
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEVIN G. KOTH
Credentials
D.O.
Primary location
12866 TROXLER AVE
HIGHLAND, IL 62249-2806
Phone: (618) 900-1070 Fax: (833) 992-2437
3 Other location(s):
9515 Holy Cross Ln Ste 2
Breese, IL 62230-3618
Phone: (618) 900-1070
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone: (186) 498-8472
Fax: (618) 498-8461
650 W Taylor St
Vandalia, IL 62471-1227
Phone: (618) 283-5531
Mailing address
PO BOX 160
TROY, IL 62294-0160
Phone: (618) 900-1070 Fax: (833) 992-2437
Sole Proprietor
Yes
Updated
Certification Date
Mar 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KEVIN KOTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherANTHEMKY000000777934
medicaidIL036-132543
medicaidIN201114320A
medicaidKY7100213750
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
KY 03476
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine
KY 03476

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KEVIN KOTH is affiliated with the following medical group(s):
  • HOSPITAL
    • HSHS HOLY FAMILY HOSPITAL INC
      200 HEALTH CARE DR
      GREENVILLE, IL 62246
    • JERSEY COMMUNITY HOSPITAL
      400 MAPLE SUMMIT ROAD
      JERSEYVILLE, IL 62052
    • SALEM TOWNSHIP HOSPITAL
      1201 RICKER DRIVE
      SALEM, IL 62881
    • ST JOSEPH'S HOSPITAL
      12866 TROXLER AVENUE
      HIGHLAND, IL 62249
    • ST JOSEPHS HOSPITAL
      9515 HOLY CROSS LN
      BREESE, IL 62230

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How do I correct or change the NPI data displayed here?
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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.