KATHERINE MOODY P.A.
NPI 1194809400
Physician Assistant in Edina, MN

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
6405 FRANCE AVE S, SUITE W200, EDINA, MN 55435(952) 924-9005(952) 915-2443 Get Directions Write a Review

NPPES record last updated: August 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Moody P.a. NPPES

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

KATHERINE MOODY P.A. (NPI 1194809400) is an individual physician assistant in Edina, Minnesota, licensed in Minnesota (10589) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194809400
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE MOODYCredential: P.A.
Location Address6405 FRANCE AVE S, SUITE W200Edina, MN 55435-2163
Mailing Address6405 France Ave S, Suite W200Edina, MN 55435-2163 · (952) 924-9005 · Fax (952) 915-2443
Fax(952) 915-2443
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 13, 2009
NPI 1194809400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 10589
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085-002505 (IL)
6405 FRANCE AVE S, Edina, MN 55435

Other Identifiers 2

Medicare ID-Type UnspecifiedK20360IL
Medicare UPINQ50949IL

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

Katherine Moody P.a. 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 ID42243644
PECOS Enrollment IDI20090608000387
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 8

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.
348 services246 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.
110 services89 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.
62 services47 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
58 services40 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.
35 services34 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Registered Nurse
6405 FRANCE AVE S
EDINA, MN 55435
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Nurse Practitioner (Women's Health)
6405 FRANCE AVE S, SUITE W400
EDINA, MN 55435
Surgery
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Internal Medicine (Interventional Cardiology)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435

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 Moody's NPI number?

The NPI number for Katherine Moody is 1194809400. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Katherine Moody located?

Katherine Moody practices at 6405 France Ave S Suite W200, Edina, MN 55435. The listed phone number is (952) 924-9005.

What is Katherine Moody's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katherine Moody enrolled in Medicare?

Yes. Katherine Moody 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 Katherine Moody accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Katherine Moody 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 Katherine Moody affiliated with any hospitals?

According to CMS data, Katherine Moody is affiliated with Fairview Lakes Health Services, M Health Fairview Southdale Hospital and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Moody was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.