KELLY PFEIFER M.D. - NPI 1083606776 - Family Medicine in Petaluma, CA

Q: What is Kelly Pfeifer's NPI number?

The NPI number for Kelly Pfeifer is 1083606776. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Kelly Pfeifer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Pfeifer was last updated on December 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly Pfeifer M.d. NPPES

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

KELLY PFEIFER M.D. (NPI 1083606776) is an individual family medicine provider in Petaluma, California, licensed in California (A66577) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083606776

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKELLY PFEIFERCredential: M.D.

Location Address1301 SOUTHPOINT BLVDPetaluma, CA 94954-6858

Mailing Address1301 Southpoint BlvdPetaluma, CA 94954-6858 · (707) 559-7500 · Fax (707) 559-7570

Phone(707) 559-7500

Fax(707) 559-7570

Sole ProprietorNo

Enumeration DateAugust 18, 2005

Last NPPES UpdateDecember 17, 2007

✔ NPI 1083606776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A66577

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1301 SOUTHPOINT BLVD, Petaluma, CA 94954

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Other Identifiers 7

Medicare UPINH29283CA

MedicaidHAP70696FCA

Medicare OSCAR/certification551879CA

MedicaidFHC70696FCA

OtherZZZ18742ZCA · Issuer Medicare

OtherA66577CA · License

MedicaidBCP70696FCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross Blue Shield of Arizona and more.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)

Kelly Pfeifer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94954 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 11

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

AUDRA LEHMAN M.D.

Family Medicine