David S. Kloth, M.D.
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.
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:
2 Riverview Dr, Danbury, CT 06810 Main Phone: 203-792-7246
Satellite Office Location:
761 Main Ave., Norwalk, CT
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.
Undergraduate Union College, Schenectady, NY
September 1979 – June 1983
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
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
State of Connecticut – Department of Health Services #031511
State of Connecticut – Controlled Substance #19097
Connecticut DEA #BK1605433
Assistant Clinical Professor, Department of Anesthesia, Frank Netter MD School of Medicine, Quinnipiac University 8/1/18 – 6/30/21
American Society of Interventional Pain Physicians
American Society of Anesthesiologists
Connecticut Pain Society
Spine Intervention Society
North American Neuromodulation Society
World Institute of Pain
Western Connecticut Orthopedic Surgical Center
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
Fellow of Interventional Pain Practice (2006) – World Institute of Pain
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 CarePart of the study on SNX-111, later approved as Ziconitide (Prialt) for intrathecal drug delivery
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
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)
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: Deer TR1, Mekhail N, Provenzano D, Pope J, Krames E, Leong M, Levy RM, Abejon D, Buchser E, Burton A, Buvanendran A, Candido K, Caraway D, Cousins M, DeJongste M, Diwan S, Eldabe S, Gatzinsky K, Foreman RD, Hayek S, Kim P, Kinfe T, Kloth D, Kumar K, Rizvi S, Lad SP, Liem L, Linderoth B, Mackey S, McDowell G, McRoberts P, Poree L, Prager J, Raso L, Rauck R, Russo M, Simpson B, Slavin K, Staats P, Stanton-Hicks M, Verrills P, Wellington J, Williams K, North R; Neuromodulation Appropriateness Consensus Committee. The appropriate use of neurostimulation of the spinal cord and peripheral nervous system for the treatment of chronic pain and ischemic diseases: The Neuromodulation Appropriateness Consensus Committee. Neuromodulation. 2014 Aug;17(6):515-50.
Kloth D, Lee E, Deer, T. R. et al Applications of Regenerative medicine and Platelet Rich Plasma, Chapters 4 and 50, Advanced Procedures for Pain Management, Springer 2017
The MIST Guidelines: The Lumbar Spinal Stenosis Consensus Group Guidelines for Minimally Invasive Spine Treatment
Journal: Pain Practice.2019 Mar;19(3):250-274.
Letter to the FDA: Intrathecal Drug Safety of compounded medications
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 inInterventional 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.
Revised July 2020