KATHLEEN URBAN DEHORN MD
NPI 1215143797
Ophthalmology in Grand Rapids, MI

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5030 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 954-2020(616) 949-0408 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2025, Jul 21, 2022, May 25, 2017 (3 updates tracked since 2017).

About Kathleen Urban Dehorn Md NPPES

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

KATHLEEN URBAN DEHORN MD (NPI 1215143797) is an individual ophthalmology provider in Grand Rapids, Michigan, licensed in Michigan (4301083642) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Ohio State University College Of Medicine (2004).

NPPES Registry Identity

NPI1215143797
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKATHLEEN URBAN DEHORNCredential: MD
Location Address5030 CASCADE RD SEGrand Rapids, MI 49546-3725
Mailing Address5030 Cascade Rd SeGrand Rapids, MI 49546-3725 · (616) 954-2020 · Fax (616) 949-0408
Fax(616) 949-0408
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2004
Enumeration DateMay 14, 2007
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
NPI 1215143797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MI · 4301083642 Licensed in NY · 258069
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.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 4301083642 (MI)
5030 CASCADE RD SE, Grand Rapids, MI 49546

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

Kathleen Urban Dehorn Md 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 ID6204909666
PECOS Enrollment IDI20150921001830
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 11

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
10,200 services29 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,597 services443 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
1,353 services52 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,296 services225 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,206 services125 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.
224 services176 patients

Hospital Affiliations CMS Care Compare

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Ophthalmology
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546

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 Dehorn's NPI number?

The NPI number for Kathleen Dehorn is 1215143797. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Kathleen Dehorn located?

Kathleen Dehorn practices at 5030 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 954-2020.

What is Kathleen Dehorn's specialty?

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

Is Kathleen Dehorn enrolled in Medicare?

Yes. Kathleen Dehorn 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 Kathleen Dehorn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kathleen Dehorn 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 Kathleen Dehorn affiliated with any hospitals?

According to CMS data, Kathleen Dehorn is affiliated with Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Dehorn was last updated on February 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.