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DR. KATHLEEN R WITTBERG MD
NPI 1144220641
Family Medicine in Dayton, OH

Active since July 26, 2005PECOS Enrolled
9000 NORTH MAIN ST, MAIN STREET FAMILY PRACTICE INC SUITE 403, DAYTON, OH 45415(937) 836-5171(937) 832-0728 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kathleen R Wittberg Md NPPES

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

DR. KATHLEEN R WITTBERG MD (NPI 1144220641) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (35048051) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144220641
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHLEEN R WITTBERGCredential: MD
Location Address9000 NORTH MAIN ST, MAIN STREET FAMILY PRACTICE INC SUITE 403Dayton, OH 45415-1180
Mailing Address9000 North Main St, Suite 403 Main Street Family Practice IncDayton, OH 45415-1180 · (937) 836-1572 · Fax (937) 832-0728
Phone(937) 836-5171
Fax(937) 832-0728
Sole ProprietorNo
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 24, 2008
✔ NPI 1144220641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35048051
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.
9000 NORTH MAIN ST, Dayton, OH 45415
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Other Identifiers 7

Medicaid0534265OH
Other1139935OH · Cigna
Other4328348OH · Aetna Dr Wittberg
Other0122424OH · Uhc Dr Wittberg
Medicare PIN0742201OH
Other000000013668OH · Anthem Dr Wittberg
Medicare UPINA15297OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Dr. Kathleen R Wittberg Md 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 45415 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%73 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%72 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

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

MARTIN K FUJIMURA MD
Family Medicine
9000 NORTH MAIN ST, SUITE 403 MAIN STREET FAMILY PRACTICE INC
DAYTON, OH 45415
Montgomery County (937) 836-5171

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 Wittberg's NPI number?

The NPI number for Kathleen Wittberg is 1144220641. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Kathleen Wittberg located?

Kathleen Wittberg practices at 9000 North Main St Main Street Family Practice Inc Suite 403, Dayton, OH 45415. The listed phone number is (937) 836-5171.

What is Kathleen Wittberg's specialty?

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

Is Kathleen Wittberg enrolled in Medicare?

Yes. Kathleen Wittberg is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Wittberg accept?

Health plans from CareSource list Kathleen Wittberg 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.

When was this NPI record last updated?

The NPPES record for Kathleen Wittberg was last updated on March 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.