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KATHERINE LIETZ MD PHD
NPI 1194864157
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Fort Myers, FL

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
9981 S HEALTHPARK DR, FORT MYERS, FL 33908(239) 343-5820(239) 343-4098 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 2, 2025, Jan 5, 2024, May 17, 2018 (3 updates tracked since 2018).

About Katherine Lietz Md Phd NPPES

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

KATHERINE LIETZ MD PHD (NPI 1194864157) is an individual advanced heart failure and transplant cardiology provider in Fort Myers, Florida, licensed in Florida (ME166042) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1194864157
Entity TypeIndividualFemale
Primary Taxonomy207RA0001X
Provider Legal NameKATHERINE LIETZCredential: MD PHD
Location Address9981 S HEALTHPARK DRFort Myers, FL 33908-3618
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-5820 · Fax (239) 343-4098
Phone(239) 343-5820
Fax(239) 343-4098
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJune 26, 20263 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1194864157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
Licenses✔ Licensed in FL · ME166042✔ Licensed in VA · 0101252774
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 127613 (IL), ME166042 (FL)
9981 S HEALTHPARK DR, Fort Myers, FL 33908
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Other Identifiers 1

Medicaid1194864157FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Lietz Md Phd 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 ID4486745288
PECOS Enrollment IDI20231221000291
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Katherine Lietz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Health System Inc
Same address
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Lee Memorial Health System
Same address
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1992873319 (239) 424-1500
Bon Secours Medical Group Richmond Specialty Care LLC
811 mi
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 581 clinicians in this Medicare group
NPI 1477112225 (804) 627-5573

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers42 claims42 services$18.53 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers53 claims173 services$35.35 avg. paid by Medicare
Injection, dobutamine hydrochloride, per 250 mg J1250
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier30 claims824 services$4.92 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
2 suppliers22 claims1,600 services$1.30 avg. paid by Medicare
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier12 claims12 services$2,369.25 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.

DR. SREEDHAR GELLI M.D.
Hospitalist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Lee County (239) 343-2052
JADE BRIDGES RN
Registered Nurse (Neonatal Intensive Care)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Lee County (239) 343-5124
PRICE S WARD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Lee County (239) 343-5000
CAROLYN SARAH HOWELL P.A.
Physician Assistant
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Lee County (239) 343-2606
DR. LAZARO AMED DIAZ MD
Hospitalist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Lee County (239) 343-2052
KIM SHIMODA PHD
Psychologist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Lee County (239) 343-5333
DR. EMAD S MANSOUR MD
Pediatrics (Pediatric Critical Care Medicine)
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Lee County (239) 343-5651
GEORGETA MACRI M.D.
Hospitalist
9981 S HEALTHPARK DR
FORT MYERS, FL 33908
Lee County (239) 343-2052

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 Lietz's NPI number?

The NPI number for Katherine Lietz is 1194864157. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Katherine Lietz located?

Katherine Lietz practices at 9981 S Healthpark Dr, Fort Myers, FL 33908. The listed phone number is (239) 343-5820.

What is Katherine Lietz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Katherine Lietz enrolled in Medicare?

Yes. Katherine Lietz 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.

Which organizations bill Medicare for Katherine Lietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Lietz reassigns Medicare benefits to 3 organizations: Lee Health System Inc (Fort Myers, FL), Lee Memorial Health System (Fort Myers, FL) and Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Lietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Katherine Lietz affiliated with any hospitals?

According to CMS data, Katherine Lietz is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Lietz was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.