Medicare Enrolled

Dr. Nicholas Kotch, D.O.

Cardiovascular Disease · St Petersburg, FL
Practice pattern: Electrophysiology & Remote — Practice combining electrophysiology and remote services
Low-engagement
601 7TH ST S STE 205, St Petersburg, FL 33701
7278936234
In practice since 2011 (14 years)
NPI: 1588942650 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kotch from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kotch

Dr. Nicholas Kotch is a cardiovascular disease specialist in St Petersburg, FL, with 14 years of NPI registration. Based on federal Medicare data, Dr. Kotch performed 1,559 Medicare services across 1,070 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kotch received a total of $70,795 from 28 pharmaceutical and/or device companies across 764 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in cardiovascular disease. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kotch is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 14 years in practice ▲ 1,559 Medicare services $70,795 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,559
Medicare services
Bottom 38% in FL for cardiovascular disease
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
1,070
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~111 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Remote pacemaker/defibrillator monitoring, 90 days 216 $17 $68
Electrocardiogram (EKG), 12-lead 179 $10 $44
Remote pacemaker monitoring, 90 days 140 $23 $92
Office visit, established patient (30-39 min) 130 $85 $383
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec 127 $28 $104
Evaluation of cardiac rhythm monitor system, remote up to 30 days 124 $21 $81
Programming of dual lead pacemaker system 89 $59 $244
Office visit, established patient (20-29 min) 73 $64 $273
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 71 $29 $114
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 42 $19 $74
Initial hospital admission, high complexity 42 $136 $598
Programming of multiple lead implantable defibrillator system 36 $78 $324
Initial hospital admission, moderate complexity 36 $106 $402
Hospital follow-up visit, moderate complexity 31 $64 $224
Evaluation of implantable heart and blood vessel monitoring system 26 $36 $166
Programming of dual lead implantable defibrillator system 20 $76 $301
Insertion of pacemaker and upper and lower heart chamber electrode 19 $400 $1,610
Ultrasound of heart with probe in esophagus, with report 19 $73 $326
Hospital follow-up visit, high complexity 19 $96 $322
New patient office visit (45-59 min) 18 $119 $507
Ultrasound of heart blood flow, valves and chambers 17 $12 $54
Ultrasound of heart with color-depicted blood flow, rate and valve function 16 $2 $10
Insertion of catheters and destruction of tissue to treat abnormal heart rhythm 16 $257 $993
Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 16 $782 $3,565
Insertion of implantable defibrillator system 14 $728 $2,919
Insertion of heart rhythm monitor under skin 12 $64 $267
New patient office visit, complex (60-74 min) 11 $153 $671
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
43.0% high complexity
1.2% medium
55.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$70,795
Total received (2018-2024)
Avg $10,114/year across 7 years
Top 6% in FL for cardiovascular disease
28
Companies
764
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$54,389 (76.8%)
Scientific / Research
Research funding and grants
$16,406 (23.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$5,238
2023
$5,261
2022
$3,078
2021
$1,398
2020
$1,286
2019
$14,608
2018
$39,926

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
BIOTRONIK INC.
$31,268
Medtronic Vascular, Inc.
$22,534
Boston Scientific Corporation
$3,747
Abbott Laboratories
$3,739
Biosense Webster, Inc.
$2,941
Medtronic, Inc.
$2,191
ATRICURE, INC.
$1,028
Medical Device Business Services, Inc.
$776
CARDIVA MEDICAL, INC.
$624
Impulse Dynamics (USA) Inc.
$507
Acutus Medical, Inc.
$271
Novartis Pharmaceuticals Corporation
$205
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$143
Philips Electronics North America Corporation
$132
PFIZER INC.
$121
ZOLL Respicardia, Inc.
$112
AtriCure, Inc.
$102
Vital Connect, Inc
$89
Janssen Pharmaceuticals, Inc
$62
Boehringer Ingelheim Pharmaceuticals, Inc.
$38
Philips North America LLC
$31
Aziyo Biologics, Inc.
$30
Lexicon Pharmaceuticals, Inc.
$22
Merck Sharp & Dohme LLC
$17
AstraZeneca Pharmaceuticals LP
$17
Kiniksa Pharmaceuticals International, plc
$16
Esperion Therapeutics, Inc.
$16
Volta Medical Inc
$15
Top 3 companies account for 81.3% of total payments
Associated products mentioned in payments ›
(9124) LM Undivided · (CK4) MCOT · ACCENT · AGILIS HISPRO · AMVIA EDGE · ARCTIC FRONT ADVANCE · ASSURITY · AVEIR · AVVIGO Guidance System · AZURE XT DR MRI SURESCAN · Accent Pacemaker · Acticor · Acticor 7 VR-T DX · Adapta · Advisa · Allure CRT Pacemaker · Allure Quadra RF CRT Pacemaker · Amplia MRI · Anthem CRT Pacemaker · Arcalyst · Arctic Front · Assurity Pacemaker · Azure · BIOMONITOR · CARDIOINSIGHT · CARDIOMEMS · CARDIVA VASCADE MVP VVCS 6-12F · CARTO 3 · COBALT DR MRI SURESCAN · CONFIRM RX · Cardiac Mapping System · CardioInsight · CareLink · Carto 3 · Carto 3 System · Carto 3 System RMT · Carto Patches · Carto Smarttouch · CartoSound · Claria MRI · Confirm Rx · CryoConsole · Durata Defibrillation ICD Lead · ECM Patch · ENSITE · ENSITE PRECISION · ENSOETM · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYS · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edora · Edora 8 DR-T · Ellipse ICD · Ensite Cardiac Mapping System · FARXIGA · Fortify Assura · GALLANT · GENERAL THERAPIES · GENERAL EP · GENERAL THERAPIES · General - Therapies · JARDIANCE · LEQVIO · LINQ II · LifeVest · MICRA · MYCARELINK · Medtronic External Pacemakers · Merlin Connectivity and Remote · Micra · NEXLETOL · Optimizer · Optisure Defibrillation ICD Lead · Paceart · Polaris Ultra · Pouch · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Quartet CRT Lead · RHYTHMIA · Renamic Neo · Reveal LINQ · Rivacor · Rotablator Rotational Atherectomy System Console Kit · SELECTSECURE · SELECTSITE · SENSOR ENABLED · SYNERGY · SYNERGY ABLATION SYSTEM · SelectSecure · Sentus · Solia · Soundstar · SureScan · TACTICATH ABLATION CATHETER · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Tendril Pacing Lead · Unify Assura CRT Defibrillator · VERQUVO · VITALPATCH RTM · VX1 · VYNDAQEL · Vascular Closure Device · Visitag · Viva · XARELTO · remede System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (77%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 6% for cardiovascular disease in FL.

Equivalent to $4,541 per 100 Medicare services performed
Looking for a cardiovascular disease specialist in St Petersburg?
Compare cardiologists in the St Petersburg area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Cardiologists within 10 mi
240
Per 100K population
25.0
County median income
$70,293
Nearest hospital
ORLANDO HEALTH BAYFRONT HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Kotch is an electrophysiology & remote specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 6% of FL peers.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Kotch experienced with remote pacemaker/defibrillator monitoring, 90 days?
Based on Medicare claims data, Dr. Kotch performed 216 remote pacemaker/defibrillator monitoring, 90 days services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kotch receive payments from pharmaceutical companies?
Yes. Dr. Kotch received a total of $70,795 from 28 companies across 764 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kotch's costs compare to other cardiologists in St Petersburg?
Dr. Kotch's average Medicare payment per service is $63. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kotch) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →