KATHRYN THELEN D.O.
NPI 1104209337
Family Medicine in Holdrege, NE

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
78.05/100
CMS Quality Rating
516 W 14TH AVE STE 100, HOLDREGE, NE 68949(308) 955-4431(308) 995-3247 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Thelen D.o. NPPES

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

KATHRYN THELEN D.O. (NPI 1104209337) is an individual family medicine provider in Holdrege, Nebraska, licensed in Nebraska (1662) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Phillips County Hospital, and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1104209337
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHRYN THELENCredential: D.O.
Location Address516 W 14TH AVE STE 100Holdrege, NE 68949
Mailing Address516 W 14th Ave Ste 100Holdrege, NE 68949-1215 · (089) 955-4431 · Fax (308) 995-3247
Fax(308) 995-3247
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 7, 2015
Last NPPES UpdateAugust 15, 2018
NPI 1104209337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NE · 1662 Licensed in NE · TEP7575
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.
516 W 14TH AVE STE 100, Holdrege, NE 68949

Secondary Practice Location 1

Location 14600 VALLEY ROAD, STE 200LINCOLN, NE 68510-4882 · Phone (402) 483-4571 · Fax (402) 483-5079

Other Identifiers 1

Medicaid470553011-00NE

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

Kathryn Thelen D.o. 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 ID9638474976
PECOS Enrollment IDI20180507000739
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 60

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
12,581 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
594 services214 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
580 services193 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
463 services188 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
418 services179 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
244 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Phillips County Hospital

Critical Access Hospitals · Phillipsburg, KS
OwnershipGovernment - Local
CMS Certification Number171353
Location1150 State StreetPhillipsburg, KS 67661 · Phillips County
Emergency services

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Harlan County Health System

Critical Access Hospitals · Alma, NE
OwnershipGovernment - Local
CMS Certification Number281300
Location717 Brown StAlma, NE 68920 · Harlan County

Phelps Memorial Health Center

Critical Access Hospitals · Holdrege, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281362
Location1215 Tibbals StHoldrege, NE 68949 · Phelps County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68949 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

78.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.77
Promoting Interoperability94
Improvement Activities40
Cost35.06

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims22 services$6.26 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers29 claims29 services$44.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$107.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims34 services$38.57 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers26 claims140 services$24.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers30 claims30 services$71.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Physician Assistant
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949

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 Kathryn Thelen's NPI number?

The NPI number for Kathryn Thelen is 1104209337. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Kathryn Thelen located?

Kathryn Thelen practices at 516 W 14th Ave Ste 100, Holdrege, NE 68949. The listed phone number is (308) 955-4431.

What is Kathryn Thelen's specialty?

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

Is Kathryn Thelen enrolled in Medicare?

Yes. Kathryn Thelen 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 Kathryn Thelen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Kathryn Thelen 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 Kathryn Thelen affiliated with any hospitals?

According to CMS data, Kathryn Thelen is affiliated with Phillips County Hospital, The Nebraska Medical Center, Kearney Regional Medical Center, Harlan County Health System and Phelps Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Kathryn Thelen was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.