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CATHERINE CLAUSS MD
NPI 1023540234
Pediatrics in Philadelphia, PA

Active since March 28, 2017PECOS Enrolled
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 428-5127 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Jul 20, 2020, Apr 2, 2017 (3 updates tracked since 2017).

About Catherine Clauss Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHERINE CLAUSS MD (NPI 1023540234) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD470432) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023540234
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCATHERINE CLAUSSCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(215) 428-5127
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1023540234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD470432
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 E ERIE AVE, Philadelphia, PA 19134
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Catherine Clauss Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335563345
PECOS Enrollment IDI20260413002464
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEOFFREY LIBARNES BAJWA MD
Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
STC PEDIATRICS LLC
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5284
JOANNA OVERTON DO
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
MS. NEHA BUTT MBBS
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Philadelphia County (923) 333-1317
CHRISTOPHER HAINES D.O.
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5369
DR. FRASER HUNTINGTON BROWN M.D.
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-3725
NORRELL KRISTIN ATKINSON MD
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
VICTORIA NICOLE HUDSON CRNP-PC
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Catherine Clauss's NPI number?

The NPI number for Catherine Clauss is 1023540234. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Catherine Clauss located?

Catherine Clauss practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 428-5127.

What is Catherine Clauss's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Catherine Clauss enrolled in Medicare?

Yes. Catherine Clauss is registered in the Medicare PECOS enrollment system.

What insurance does Catherine Clauss accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Catherine Clauss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Catherine Clauss was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.