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DR. KATHERINE LOUISE PRICE MD
NPI 1225081391
Family Medicine in Pensacola, FL

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
90.98/100
CMS Quality Rating
13139 SORRENTO RD, PENSACOLA, FL 32507(850) 416-0020(850) 492-6340 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Katherine Louise Price Md NPPES

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

DR. KATHERINE LOUISE PRICE MD (NPI 1225081391) is an individual family medicine provider in Pensacola, Florida, licensed in Florida (ME74459) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Howard University College Of Medicine (1993).

NPPES Registry Identity

NPI1225081391
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHERINE LOUISE PRICECredential: MD
Location Address13139 SORRENTO RDPensacola, FL 32507-8777
Mailing Address13139 Sorrento RdPensacola, FL 32507-8777 · (850) 416-0020 · Fax (850) 492-6340
Phone(850) 416-0020
Fax(850) 492-6340
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1993
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 12, 2016
✔ NPI 1225081391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME74459
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13139 SORRENTO RD, Pensacola, FL 32507
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Other Identifiers 3

Medicare UPING65332FL
Medicaid253218200FL
Medicare ID-Type Unspecified42774FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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

Dr. Katherine Louise Price 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 ID5294797148
PECOS Enrollment IDI20041102000810
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 Reassignment

Medicare enrollment records show Katherine Price reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sacred Heart Hospital Of Pensacola
16 mi
Adult Care Home
4451 BAYOU BLVD
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Sacred Heart Health System Inc
  • 446 clinicians in this Medicare group
NPI 1952352304 (850) 475-4500

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

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.
678 services362 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.
210 services153 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
53 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
41 services23 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
41 services36 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
38 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32507 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

90.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.39
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
79%375 patients4/55-star benchmark: 93%
Cervical Cancer Screening
59%167 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
58%338 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
78%559 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
48%412 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
36%99 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
10%99 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,882 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
71%647 patients3/55-star benchmark: 100%
HIV Screening
8%306 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%730 patients2/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 641 patients
Patients totalRate: 10% · 669 patients
10%669 patients4/55-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 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers19 claims40 services$6.01 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$38.63 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$94.26 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims45 services$37.34 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers24 claims135 services$19.57 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers25 claims25 services$55.82 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 4

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

SONJA MARTINA STEFANIE WHITAKER M.D., PH.D.
Family Medicine
13139 SORRENTO RD
PENSACOLA, FL 32507
Escambia County (850) 416-0020
ROSS A. ROBINS MD
Family Medicine
13139 SORRENTO RD
PENSACOLA, FL 32507
Escambia County (850) 492-0543
CEP AMERICA LLC
Emergency Medicine
13139 SORRENTO RD
PENSACOLA, FL 32507
Escambia County (850) 746-0020
BRITTNEY VICTORIA BROWN PA
Physician Assistant
13139 SORRENTO RD
PENSACOLA, FL 32507
Escambia County (850) 416-0020

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 Price's NPI number?

The NPI number for Katherine Price is 1225081391. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Katherine Price located?

Katherine Price practices at 13139 Sorrento Rd, Pensacola, FL 32507. The listed phone number is (850) 416-0020.

What is Katherine Price's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Price enrolled in Medicare?

Yes. Katherine Price 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 organization bills Medicare for Katherine Price's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Price reassigns Medicare benefits to Sacred Heart Hospital Of Pensacola (Pensacola, FL). The 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 Price's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Price accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Katherine Price 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 Price affiliated with any hospitals?

According to CMS data, Katherine Price is affiliated with Sacred Heart Hospital and Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Price was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.