DR. KATHERINE J LUDINGTON M.D.
NPI 1164420469
Internal Medicine - Cardiovascular Disease in Encinitas, CA

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
77.65/100
CMS Quality Rating
4401 MANCHESTER AVE, SUITE 103, ENCINITAS, CA 92024(760) 753-0220 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine J Ludington M.d. NPPES

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

DR. KATHERINE J LUDINGTON M.D. (NPI 1164420469) is an individual cardiovascular disease provider in Encinitas, California, licensed in California (A66026) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1997).

NPPES Registry Identity

NPI1164420469
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KATHERINE J LUDINGTONCredential: M.D.
Location Address4401 MANCHESTER AVE, SUITE 103Encinitas, CA 92024-4938
Mailing Address4401 Manchester Ave, Suite 103Encinitas, CA 92024-4938 · (760) 753-0220
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1997
Enumeration DateJuly 11, 2005
Last NPPES UpdateFebruary 22, 2008
NPI 1164420469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A66026
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4401 MANCHESTER AVE, Encinitas, CA 92024

Other Identifiers 1

Medicare UPINH13632CA

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

Dr. Katherine J Ludington 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 ID5799882379
PECOS Enrollment IDI20070515000610
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 33

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.
2,025 services671 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,268 services714 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.
1,164 services466 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
1,096 services108 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
698 services626 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
664 services167 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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.

77.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.06
Promoting Interoperability100
Improvement Activities40
Cost43.44

Reported Quality Measures

Advance Care Plan
92%928 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
23%141 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
73%312 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
68%94 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
82%6,924 patients4/55-star benchmark: 100%
e-Prescribing
99%336 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%1,508 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%3,178 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 38% · 1,420 patients
38%1,420 patients
Provide Patients Electronic Access to Their Health Information
93%892 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%666 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 945 patients
Patients totalRate: 0% · 945 patients
0%945 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier12 claims72 services$1.75 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 15

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

Marriage & Family Therapist
4401 MANCHESTER AVE, SUITE 204
ENCINITAS, CA 92024
Dentist (General Practice)
4401 MANCHESTER AVE, SUITE 203
ENCINITAS, CA 92024
Psychiatry & Neurology (Psychiatry)
4401 MANCHESTER AVE, SUITE #101
ENCINITAS, CA 92024
Internal Medicine (Cardiovascular Disease)
4401 MANCHESTER AVE, SUITE 103
ENCINITAS, CA 92024
Psychiatry & Neurology (Psychiatry)
4401 MANCHESTER AVE, STE. 108
ENCINITAS, CA 92024
Dietitian, Registered (Nutrition, Metabolic)
4401 MANCHESTER AVE, SUITE 103
ENCINITAS, CA 92024
Internal Medicine
4401 MANCHESTER AVE, SUITE 103
ENCINITAS, CA 92024
Anesthesiology (Pain Medicine)
4401 MANCHESTER AVE, SUITE 103
ENCINITAS, CA 92024

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 Katherine Ludington's NPI number?

The NPI number for Katherine Ludington is 1164420469. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Katherine Ludington located?

Katherine Ludington practices at 4401 Manchester Ave Suite 103, Encinitas, CA 92024. The listed phone number is (760) 753-0220.

What is Katherine Ludington's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Katherine Ludington enrolled in Medicare?

Yes. Katherine Ludington 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 Katherine Ludington was last updated on February 22, 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.