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MRS. KATHLEEN ELLEN WHISMAN M.D.
NPI 1124179353
Family Medicine in Sebastopol, CA

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
678 PETALUMA AVE, SEBASTOPOL, CA 95472(707) 823-6997(707) 829-3709 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathleen Ellen Whisman M.d. NPPES

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

MRS. KATHLEEN ELLEN WHISMAN M.D. (NPI 1124179353) is an individual family medicine provider in Sebastopol, California, licensed in California (G79463) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1992).

NPPES Registry Identity

NPI1124179353
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. KATHLEEN ELLEN WHISMANCredential: M.D.
Location Address678 PETALUMA AVESebastopol, CA 95472-4217
Mailing Address678 Petaluma AveSebastopol, CA 95472-4217 · (707) 694-2390 · Fax (707) 829-3709
Phone(707) 823-6997
Fax(707) 829-3709
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 1992
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1124179353 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 · G79463
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.
678 PETALUMA AVE, Sebastopol, CA 95472
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Other Identifiers 1

Medicaid00G794630CA

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

Mrs. Kathleen Ellen Whisman 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 ID5092868240
PECOS Enrollment IDI20090805000362
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 5

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.

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.
321 services84 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95472 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 3

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

DR. JEFFREY YATES HERGENRATHER MD
Integrative Medicine
678 PETALUMA AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 829-1811
JOHN PETER CANOVA M.D.
Family Medicine
678 PETALUMA AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 829-2232
DAVID FICHMAN MD
Family Medicine
678 PETALUMA AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 829-1811

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 Kathleen Whisman's NPI number?

The NPI number for Kathleen Whisman is 1124179353. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Kathleen Whisman located?

Kathleen Whisman practices at 678 Petaluma Ave, Sebastopol, CA 95472. The listed phone number is (707) 823-6997.

What is Kathleen Whisman's specialty?

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

Is Kathleen Whisman enrolled in Medicare?

Yes. Kathleen Whisman 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.

When was this NPI record last updated?

The NPPES record for Kathleen Whisman was last updated on July 20, 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.