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DR. KATHLEEN JANE VEDOCK DO, FAAP
NPI 1235103508
Pediatrics in Sierra Vista, AZ

Active since February 14, 2006PECOS Enrolled
155 CALLE PORTAL, SUITE 700, SIERRA VISTA, AZ 85635(520) 459-0203(520) 364-4261 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kathleen Jane Vedock Do, Faap NPPES

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

DR. KATHLEEN JANE VEDOCK DO, FAAP (NPI 1235103508) is an individual pediatrics provider in Sierra Vista, Arizona, licensed in Arizona (3952) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235103508
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHLEEN JANE VEDOCKCredential: DO, FAAP
Location Address155 CALLE PORTAL, SUITE 700Sierra Vista, AZ 85635-2900
Mailing Address1205 F AveDouglas, AZ 85607-1920 · (520) 364-6852 · Fax (520) 364-4261
Phone(520) 459-0203
Fax(520) 364-4261
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateApril 26, 2017
✔ NPI 1235103508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 3952
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
155 CALLE PORTAL, Sierra Vista, AZ 85635
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI 01181
Medicaid807125AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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 (PECOS)

Dr. Kathleen Jane Vedock Do, Faap is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Kathleen Vedock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiricahua Community Health Centers, Inc
Same address
Federally Qualified Health Center (FQHC)
155 CALLE PORTAL, SUITE 300
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 65 clinicians in this Medicare group
NPI 1417331711 (520) 459-3011
Bisbee Hospital Association
15 mi
Rural Health
10524 E HIGHWAY 92
Hereford, AZ 85615
  • Reassigned Medicare billing, Arizona enrollment
  • 128 clinicians in this Medicare group
NPI 1225438104 (520) 366-0300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

DEAN ETTINGER MD, PC
Pediatrics
155 CALLE PORTAL, SUITE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 458-0660
AKDHC, LLC
Internal Medicine (Nephrology)
155 CALLE PORTAL, SUITE 400
SIERRA VISTA, AZ 85635
Cochise County (520) 458-0229
SARAH ELMER PHARMD
Pharmacist
155 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
KERSTIN P. HURLEY, PHD
Psychologist
155 CALLE PORTAL, SUITE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
MARK CHRISTIAN CARNETT D.O.
Family Medicine (Adult Medicine)
155 CALLE PORTAL, SUITE 600
SIERRA VISTA, AZ 85635
Cochise County (520) 439-5186
DEANNA LEE MERRILL RN, CNP
Nurse Practitioner
155 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
155 CALLE PORTAL, SUITE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
LAWRENCE NUNEZ TERUEL M.D.
Otolaryngology
155 CALLE PORTAL, SUITE 600
SIERRA VISTA, AZ 85635
Cochise County (520) 458-4919

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 Vedock's NPI number?

The NPI number for Kathleen Vedock is 1235103508. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Kathleen Vedock located?

Kathleen Vedock practices at 155 Calle Portal Suite 700, Sierra Vista, AZ 85635. The listed phone number is (520) 459-0203.

What is Kathleen Vedock's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathleen Vedock enrolled in Medicare?

Yes. Kathleen Vedock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathleen Vedock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Vedock reassigns Medicare benefits to 2 organizations: Chiricahua Community Health Centers, Inc (Sierra Vista, AZ) and Bisbee Hospital Association (Hereford, AZ). 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 Kathleen Vedock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Vedock accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Kathleen Vedock 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 Kathleen Vedock was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.