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KATHERINE PENBERTHY M.D.
NPI 1255420667
Internal Medicine in Gloucester City, NJ

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating
430 S BROADWAY, GLOUCESTER CITY, NJ 08030(856) 456-0518 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Penberthy M.d. NPPES

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

KATHERINE PENBERTHY M.D. (NPI 1255420667) is an individual internal medicine provider in Gloucester City, New Jersey, licensed in New Jersey (MA077687) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Gloucester City.

NPPES Registry Identity

NPI1255420667
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATHERINE PENBERTHYCredential: M.D.
Location Address430 S BROADWAYGloucester City, NJ 08030
Mailing Address1 Federal St # 200Camden, NJ 08103-1088 · (856) 356-4924
Phone(856) 456-0518
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2001
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 17, 2019
✔ NPI 1255420667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA077687
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
430 S BROADWAY, Gloucester City, NJ 08030
Open in Google Maps ↗

Secondary Practice Location 1

Location 114 S BroadwayGloucester City, NJ 08030-1706 · Phone (856) 356-4800 · Fax (856) 356-4793

Other Identifiers 12

Other60018543NJ · Horizon Nj Health
Other3K6217NJ · Healthnet, Inc
Other42477NJ · University Health Plan
Other2430550000NJ · Amerihealth/keystone/ibc
Other2566179NJ · United Healthcare
Other3949355NJ · Aetna
OtherP00278714NJ · Rr Medicare
Medicaid0070106NJ
Other010007469NJ · Americhoice
Other1764618NJ · Amerihealth Ppo/pabs
Other8397292NJ · Cigna
OtherP3658002NJ · Oxford

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 Penberthy M.d. 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 ID4587692553
PECOS Enrollment IDI20050808000427
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 5

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.
140 services106 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services34 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08030 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.96
Promoting Interoperability99.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
14 suppliers29 claims55 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers12 claims14 services$0.99 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers19 claims19 services$12.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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 2

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

MRS. ROSEMARIE STAG RN, APN-C
Nurse Practitioner (Family)
430 S BROADWAY
GLOUCESTER CITY, NJ 08030
Camden County (856) 456-0518
SAANIYA CONTRACTOR AJMERI MD
Internal Medicine
430 S BROADWAY
GLOUCESTER CITY, NJ 08030
Camden County (856) 456-0518

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 Penberthy's NPI number?

The NPI number for Katherine Penberthy is 1255420667. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Katherine Penberthy located?

Katherine Penberthy practices at 430 S Broadway, Gloucester City, NJ 08030. The listed phone number is (856) 456-0518.

What is Katherine Penberthy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katherine Penberthy enrolled in Medicare?

Yes. Katherine Penberthy 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.

Is Katherine Penberthy affiliated with any hospitals?

According to CMS data, Katherine Penberthy is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Penberthy was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.