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KIM MARIE PFOTENHAUER D.O.
NPI 1093041659
Family Medicine in East Lansing, MI

Active since November 02, 2009PECOS Enrolled
965 WILSON RD RM A325, EAST LANSING, MI 48824(517) 862-2449 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Marie Pfotenhauer D.o. NPPES

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

KIM MARIE PFOTENHAUER D.O. (NPI 1093041659) is an individual family medicine provider in East Lansing, Michigan, licensed in Michigan (5101018189) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093041659
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIM MARIE PFOTENHAUERCredential: D.O.
Location Address965 WILSON RD RM A325East Lansing, MI 48824-6410
Mailing Address5577 Strawberry LnHaslett, MI 48840-9773 · (517) 862-2449
Phone(517) 862-2449
Sole ProprietorNo
Enumeration DateNovember 2, 2009
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1093041659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 5101018189✔ Licensed in CA · 14181
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 5101018189 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
965 WILSON RD RM A325, East Lansing, MI 48824
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Marie Pfotenhauer D.o. 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 48824 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Kim Pfotenhauer's NPI number?

The NPI number for Kim Pfotenhauer is 1093041659. It was assigned to this individual provider in the NPPES registry on November 2, 2009.

Where is Kim Pfotenhauer located?

Kim Pfotenhauer practices at 965 Wilson Rd Rm A325, East Lansing, MI 48824. The listed phone number is (517) 862-2449.

What is Kim Pfotenhauer's specialty?

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

Is Kim Pfotenhauer enrolled in Medicare?

Yes. Kim Pfotenhauer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Pfotenhauer was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.