PHILIP DOUGLAS KATH M.D.
NPI 1164436739
Ophthalmology in Morganton, NC

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
91.63/100
CMS Quality Rating
335 E PARKER RD, MORGANTON, NC 28655(828) 433-1000(828) 433-6274 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Douglas Kath M.d. NPPES

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

PHILIP DOUGLAS KATH M.D. (NPI 1164436739) is an individual ophthalmology provider in Morganton, North Carolina, licensed in North Carolina (24919) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (1976).

NPPES Registry Identity

NPI1164436739
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePHILIP DOUGLAS KATHCredential: M.D.
Location Address335 E PARKER RDMorganton, NC 28655-5112
Mailing Address335 E Parker RdMorganton, NC 28655-5112 · (828) 433-1000 · Fax (828) 433-6274
Fax(828) 433-6274
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1976
Enumeration DateJuly 28, 2006
Last NPPES UpdateMarch 17, 2008
NPI 1164436739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 24919
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
335 E PARKER RD, Morganton, NC 28655

Other Identifiers 9

Other47821NC · Blue Cross Blue Shield
Medicare PIN207752ANC
Medicaid8947821NC
Medicare PIN207752BNC
Medicare UPINC84842
Medicare PIN207752NC
Medicare PIN207752KNC
Medicare PIN207752GNC
Medicare PIN207752CNC

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

Philip Douglas Kath 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 ID5991694523
PECOS Enrollment IDI20040312000215
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 14

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
236 services104 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
213 services20 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.
182 services172 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
122 services15 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
113 services75 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
86 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.86
Promoting Interoperability100
Improvement Activities40
Cost82.26

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers17 claims17 services$66.11 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers11 claims18 services$51.94 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 20

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

Ophthalmology
335 E PARKER RD
MORGANTON, NC 28655
Optometrist
335 E PARKER RD
MORGANTON, NC 28655
Clinic/Center (Ambulatory Surgical)
335 E PARKER RD
MORGANTON, NC 28655
Optometrist
335 E PARKER RD
MORGANTON, NC 28655
Ophthalmology
335 E PARKER RD
MORGANTON, NC 28655
Optometrist
335 E PARKER RD
MORGANTON, NC 28655
Ophthalmology
335 E PARKER RD, OPTICAL DEPARTMENT
MORGANTON, NC 28655
Optometrist
335 E PARKER RD
MORGANTON, NC 28655

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 Philip Kath's NPI number?

The NPI number for Philip Kath is 1164436739. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Philip Kath located?

Philip Kath practices at 335 E Parker Rd, Morganton, NC 28655. The listed phone number is (828) 433-1000.

What is Philip Kath's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Philip Kath enrolled in Medicare?

Yes. Philip Kath 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 Philip Kath accept?

Health plans from AmeriHealth Caritas Next, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 5 other insurers list Philip Kath 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 Philip Kath was last updated on March 17, 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.