HELEN KATSMAN M.D.
NPI 1093704280
Internal Medicine in Columbus, OH

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
5969 E BROAD ST, COLUMBUS, OH 43213(614) 234-7535 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Helen Katsman M.d. NPPES

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

HELEN KATSMAN M.D. (NPI 1093704280) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35073808) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1093704280
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHELEN KATSMANCredential: M.D.
Location Address5969 E BROAD STColumbus, OH 43213-1546
Mailing Address5969 E Broad StColumbus, OH 43213-1546 · (614) 234-7535
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 19, 2005
Last NPPES UpdateMay 24, 2022
NPPES CertifiedMay 24, 2022
NPI 1093704280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35073808
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 35073808 (OH)
5969 E BROAD ST, Columbus, OH 43213

Secondary Practice Location 1

Location 1543 Taylor AveColumbus, OH 43203 · Phone (614) 688-6470 · Fax (614) 688-6471

Other Identifiers 2

Medicaid2054708OH
Other000000210561OH · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Helen Katsman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274595277
PECOS Enrollment IDI20041102000391
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
314 services292 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Diley Ridge Medical Center

Acute Care Hospitals · Canal Winchester, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360358
Location7911 Diley RoadCanal Winchester, OH 43110 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%207 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Acute Care)
5969 E BROAD ST
COLUMBUS, OH 43213
Urology
5969 E BROAD ST, SUITE 330
COLUMBUS, OH 43213
Specialist
5969 E BROAD ST, SUITE 201
COLUMBUS, OH 43213
Orthopaedic Surgery
5969 E BROAD ST, #402
COLUMBUS, OH 43213
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5969 E BROAD ST
COLUMBUS, OH 43213
Audiologist
5969 E BROAD ST, SUITE 302
COLUMBUS, OH 43213
Internal Medicine (Cardiovascular Disease)
5969 E BROAD ST, SUITE 202
COLUMBUS, OH 43213
Clinical Medical Laboratory
5969 E BROAD ST, SUITE 200
COLUMBUS, OH 43213

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 Helen Katsman's NPI number?

The NPI number for Helen Katsman is 1093704280. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Helen Katsman located?

Helen Katsman practices at 5969 E Broad St, Columbus, OH 43213. The listed phone number is (614) 234-7535.

What is Helen Katsman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Helen Katsman enrolled in Medicare?

Yes. Helen Katsman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Helen Katsman accept?

Health plans from CareSource and Oscar Health Insurance list Helen Katsman 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.

Is Helen Katsman affiliated with any hospitals?

According to CMS data, Helen Katsman is affiliated with Mount Carmel St Ann's, Grant Medical Center, Mount Carmel East & West, Licking Memorial Hospital and Diley Ridge Medical Center.

When was this NPI record last updated?

The NPPES record for Helen Katsman was last updated on May 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.