Curriculum Vitae

David S. Kloth, M.D.

Contact via email: dkmd@ctpaincare.com or Telephone:  (203) 792-7246

Current Status: Partner OrthoConnecticut – In September 2017, David Kloth MD PC/Connecticut Pain Care merged with Danbury Orthopedics, New Milford Orthopedics and Coastal Orthopedics as part of OrthoCT. OrthoCT is a large multicenter musculoskeletal group with offices throughout western CT. The group offers comprehensive musculoskeletal care combining orthopedics, sports medicine, regenerative medicine and pain management.

May 1995–Present Founder, President and Medical Director of Connecticut Pain Care, a Pain

Management center for the treatment of acute and chronic pain. This service provides treatment for all forms of pain, including chronic benign (back pain, headaches, facial pain, etc.) and cancer pain. Modalities of treatment include medications, anesthetic blocks, implantable devices (spinal cord stimulators and subarachnoid infusion pumps), regenerative medicine (protein rich plasma injections and stem cell therapy), and minimally invasive disc surgery. An anesthesia based pain management service provides alternative treatment to standard medical and surgical care.

Primary Office Location: Main Phone: 

2 Riverview Dr, Danbury, CT 06810 203-792-7246 

Satellite Office Location:

761 Main Ave., Norwalk, CT

Web Site: www.ctpaincare.com

  www.myortho.com

Additional current and recent business affiliations:

General and Managing Partner Mobile Medical Technology – A mobile radiology company based out of California that delivers high quality mobile radiologic services around the state including MRI, CT, and PET scanning capabilities. The company repairs, services, maintains, and delivers equipment to hospitals, clinics, and medical practices throughout the state. The business all provides truck repairs for a variety of companies within California.

Trailer Partner – A separate company from MMT which buys and builds mobile radiologic and medical units for sale.

General and Managing Partner Axxess Pharmasupply 2008-2014– A company specializing in the production of non-sterile pharmaceuticals for patients.

Education:

Undergraduate Union College, Schenectady, NY September 1979 – June 1983

Major: Biology/Mathematics

Bachelor of Science with Honors

Magna Cum Laude

Elected to Sigma Xi

Medical School New York University School of Medicine July 1983 – June 1987

550 First Ave.

New York, NY

Doctor of Medicine Degree

Honors Program Research Project

Training:

Internship Graduate Hospital July 1987 – July 1988

One Graduate Plaza

Philadelphia, PA 19146

Emphasis – Cardiology and ICU

Residency Hospital of the University of Pennsylvania July 1988 – July 1991

3400 Spruce Street

Philadelphia, PA 19104

Emphasis – Pain Management, Cardiothoracic

Major Affiliates: Children’s Hospital of Philadelphia – 3 mos.

Deborah Heart and Lung Center – 5 mos. Co-Director Resident Journal Club

Licensure: State of Connecticut – Department of Health Services #031511

State of Connecticut – Controlled Substance #19097

Connecticut DEA #BK1605433

Professional

Associations: American Society of Interventional Pain Physicians             American Society of Anesthesiologists

Connecticut Pain Society

Spine Intervention Society

North American Neuromodulation Society

World Institute of Pain

Hospital Affiliations: Danbury Hospital

`             Ridgefield Surgical Center

Certification Status: Diplomate of the National Board of Medical Examiners (#336847)

Diplomate of the American Board of Anesthesiology (4/92)

Diplomate of the American Board of Anesthesiology: Subspecialty

Certification in Pain Management 1996, recertified 2006 and 2015

American Board of Interventional Pain Physicians (2005, re-certified 2019)

Competency Certification in Coding, Compliance & Pain Management

Competence Certification in Controlled Substance Management

Fellow of Interventional Pain Practice (2006) – World Institute of Pain

Research: Union College, NY

Senior Honors Thesis: The effects of steroid treatment on the pulsatile release

Luteinizing Hormone as it relates to the maturational changes occurring at the

onset of puberty.

New York University Medical Center

Spent three summers performing research in the Cardiovascular Experimental

Surgery Laboratory at the Berg Institute. In 1981 and 1982, studied vein graft

patency following the use of various bathing solutions designed to prevent graft

damage and platelet adherence. In 1984, gathered the information and statistical

data for a retrospective study of sternal wound infections.

Connecticut Pain Care

   Part of the study on SNX-111, later approved as Ziconitide (Prialt) for     intrathecal drug delivery

Professional 

Appointments:

National North American Neuromodulation Society – Senior Advisor 2017- Present

North American Neuromodulation Society – Immediate Past-President 2015-17 North American Neuromodulation Society, President Dec.2013- Dec. 2015

American Society of Interventional Pain Physicians,

President (2005 – 2006),

Board of Directors, American Society of Interventional Pain Physicians

(11/99 – 4/2014)

Editorial Advisory Board, “Pain Physician” (1999-2002)

North American Neuromodulation Society, Treasurer (2009-2011)

North American Neuromodulation Society, Board of Directors (2007 – present)

Neuromodulation Therapy Access Coalition, Chair (2010- 2013, Vice-chair 2004-2010)

Current NANS Representative to MPW – Multi-Society Physician Workgroup (provides input to CMS, FDA, and other national and state agencies on a range of issues related to safety and treatment coverage)

Co-Chair NANS Advocacy and Policy Committee

State Connecticut Pain Society, President (1999-2005, 2006- 2010), Executive

Director (1999- 2015), currently Senior Advisor to the Board

Connecticut Medicare Carrier Advisory Committee (1997-1999)

Connecticut Prescription Drug Monitoring Work Group (2009)

Connecticut Workers Compensation Medical Advisory Board (2004-present)

Local Danbury Hospital, Section Chief, Interventional Pain Management

(2004 –2011)

Danbury Hospital Ethics Committee (7/97 –4/04)

International Failed Back Surgery Syndrome (FBSS) Taxonomy Steering Committee

Educator/

Presenter: Connecticut Pain Society Conference 2011, 2013, 2015.

ASIPP Cadaver Courses – 2004, 2005, 2006, 2007, 2008, 2009, 2010

ASIPP National Meeting – 1999- 2012

NANS National Meeting – 2007-2019

NYSIPP – 2012, 2014, 2016, 2017

CASIPP – 2010, 2012, 2014, 2016, 2018

WVSIPP – 2015

IDET/Radiofrequency Denervation Course – Smith & Nephew – 2006

SCS courses for SJM on multiple occasions from 2003-2013

AMA/CPT Committee, IDET transition to Category I Code – March 2006

RUC Committee, IDET Code Valuation – April, 2006 

Current Consultant Activity:

Medical Advisory Board, Consultant and Educator – Boston Scientific

Medical Advisory Board, Consultant and Educator – Stimwave

(previous consulting has included work for Medtronic, Smith and Nephew, and SJM)

Additional Professional Work:

Meeting with Center for Medicare Services on multiple issues (2001-2015)

Work with Drug Enforcement Agency on intrathecal pump medication 2004 -2015 

Assisted with review/ investigation process of physician records for DEA (2008) and testified for the District Attorney of TN in November 2014

World Institute of Pain/Fellow of Interventional Pain Practice Examiner –

March 2007.

ABIPP Board Examiner (2010 –2012)

Professional testimony for liability cases including personal injury, workers compensation, and malpractice; defense and plaintiff.

Consulted and quoted as national expert on healthcare reform and prescription

drug abuse in print and television.

Medical Society Advisor and representative for development of multiple LCD’s for multiple Medicare intermediaries through MPW and or medical society.

Drafted LMRP’s for pain management coverage policies for First Coast – Medicare intermediary for CT and FL at the time @1998

Assisted with the development of multiple guidelines for ASIPP

Provided written advice to FDA on safety for epidural Steroid Injections as part of an MPW in 2014

Publications: Kloth D, Rathmell JP, Benzon HT, Dreyfuss P, et al. “Safeguards to prevent

Neurologic Complications after Epidural Steroid Injections: Consensus

Opinions from a Multidisciplinary Working Group and National Organizations.”

Anesthesiology 2015 122 (5): 974-84.

Kloth D, Deer, T, Mekhail N, Provenzano D, Pope J, et al. “The Appropriate Use of

Neurostimulation of the Spinal Cord and Peripheral Nervous System for the Treatment

Chronic Pain and Ischemic Diseases: the Neuromodulation Appropriateness Consensus

Committee.” Neuromodulation 2014 17 (6): 515-50.

Kloth D, Rezai A, et al “Physician Response to Medtronic’s Position on the use of

Off-Label Medications in the Synchromed Pump.” Neuromodulation 2013 16 (5) 398-400.

L. Manchikanti, S Abdi, S. Atluri, D. Kloth, et al. “American Society of Interventional

Pain Physicians (ASIPP) Guidelines for Responsible Opioid Prescribing in Chronic

Non-Cancer Pain Parts 1 &2.” Pain Physician 2012: 15; S1-S116.

D. Kloth, A. Trescot, F. Reigler. Pain Wise Hatherleigh Press, October 2011.

D. Kloth, A. Calodney, R. Derby, et al. “Improving the Safety of Transforaminal

Epidural Steroid Injections in the Treatment of Cervical Radiculopathy.”

Pain Physician 2011: 14; 285-293.

D. Kloth. “Health Care Reform—Involving Our Physician Leaders.”

Pain Physician 2011: 14; 169-173.

D.Kloth, D. Fenton, G. Anderson, J.Block. “Intradiscal Electrothermal Therapy

(IDET) for the Treatment of Discogenic Low Back Pain: Patient Selection and

Indications for Use.” Pain Physician 2008: 11; 659-668.

L Manchikanti, M Boswell, A Trescot, D Kloth et al.“Interventional Techniques:  Evidence-based Practice Guidelines in the Management of Chronic Spinal Pain.”  Pain Journal 2007; 10; 7-111.

D Kloth et al. “Treatment Guidelines for the Diagnosis and Management of Pain – Connecticut Workers Compensation Commission.” 2001: 1.

D. Kloth. “Annuloplasty”. A Practical Guide to Interventional Pain Techniques.

ASIPP Publishing (2007).

D. Kloth. “Percutaneous Discectomy”. A Practical Guide to Interventional Pain Techniques.  ASIPP Publishing (2007).

D. Kloth. “Risk of Cervical Transforaminal Epidural Injections by Anterior Approach”.

Pain Physician. Vol. 6, No. 2, 2003, 392-393.

Laxmaiah Manchikanti, David Kloth et al. “Evidence-Based Practice Guidelines for Interventional Techniques in the Management Of Chronic Spinal Pain.”

Pain Physician. January 2003, Volume 6 Number 1, 3-80.

L Manchikanti, V Singh, B Vilims, H Hansen, D Schultz, D Kloth. “Medial Branch Neurotomy in Management of Chronic Spinal Pain: Systematic Review of the Evidence.” Pain Journal 2002; 5; 405-418.

Laxmaiah Manchikanti, David Kloth et al. “Interventional Pain Medicine: Documentation, Coding & Billing, A Practical Guide For Physicians and ASC’s.”

Pain Physician..  2002, 169-222.

David Kloth, David C Levi, John Paggioli, Frank A Delli Carpini. “Local Medicare Review Policies on Pain Management.” First Coast Service Options, October 2003.

L Manchikanti, V Singh, D Kloth, and SL Atluri.  “Algorithms for Interventional Techniques in Chronic Pain.” Pain Physician. 2001 Volume 4 Number 3, 286-291.

L Manchikanti, V Singh, D Kloth, CW Slipman, JF Jasper, AM Trescot, KG Varley, SL

Atluri, C Giron, MJ Curran, J Rivera, AG Baha, CE Bakhit, and MW Reuter. “Interventional Techniques In The Management of Chronic Pain: Part 2.0 Practice Guidelines.” Pain Physician. January 2001, 4 (1), 24-96.

L. Manchikanti, D Kloth, and V Singh.The Role of Guidelines in

Interventional Pain Medicine:  Let Us Separate Apples and Oranges, Focused Review.”  Pain Physician. January 2001, 4 (1), 13-23.

David Kloth MD. “Corporate Compliance Program.”  Pain Physician. 1999, 2 (2), 46-47.

EA Grossi,  AT Culliford, KH Krieger, DS Kloth, R Press, G Baumann, and FC Spencer.  “A Survey of  77 Major Infectious Complications of Median Sternotomy: A Review of 7,949 Consecutive Operative Procedures.” Annals of Thoracic Surgery. September 1985. 40(3):  214-23.

Accepted/pending for Publication

Article: The MIST Guidelines: The Lumbar Spinal Stenosis Consensus Group Guidelines for Minimally Invasive Spine Treatment
Journal: Pain Practice

Article: Intrathecal Drug Safety of compounded medications

Revised June 2019