CATHERINE MELISSA PORTER DO
NPI 1255606521
Surgery in Philadelphia, PA

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
915 OLD FERN ROAD, BLDNG D STE 503 2ND FL, PHILADELPHIA, PA 19380(610) 423-4556(610) 732-6735 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Oct 23, 2019, Sep 19, 2017 (3 updates tracked since 2017).

About Catherine Melissa Porter Do NPPES

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

CATHERINE MELISSA PORTER DO (NPI 1255606521) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS014585) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Philadelphia College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1255606521
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCATHERINE MELISSA PORTERCredential: DO
Location Address915 OLD FERN ROAD, BLDNG D STE 503 2ND FLPhiladelphia, PA 19380-4629
Mailing Address915 Old Fern Road, Bldng D Ste 503 2nd FlPhiladelphia, PA 19380-4629 · (610) 423-4556 · Fax (610) 732-6735
Fax(610) 732-6735
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2005
Enumeration DateMarch 20, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1255606521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · OS014585
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
915 OLD FERN ROAD, Philadelphia, PA 19380

Other Names 1

Former Name (1)Catherine Melissa Markle

Accepted 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

Catherine Melissa Porter Do 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 ID8325295876
PECOS Enrollment IDI20131210000137
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 Catherine Porter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hepatology
701 E MARSHALL ST
West Chester, PA 19380
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 983 clinicians in this Medicare group
Surgery
1001 CHESTERBROOK BLVD, 3RD FLOOR
Berwyn, PA 19312
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group

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 10

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 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.
192 services148 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.
60 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
29 services29 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
27 services27 patients
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.
25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
915 OLD FERN ROAD, BLDNG D STE 503
WEST CHESTER, PA 19380

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 Catherine Porter's NPI number?

The NPI number for Catherine Porter is 1255606521. It was assigned to this individual provider in the NPPES registry on March 20, 2012. The provider is also known as Catherine Melissa Markle.

Where is Catherine Porter located?

Catherine Porter practices at 915 Old Fern Road Bldng D Ste 503 2nd Fl, Philadelphia, PA 19380. The listed phone number is (610) 423-4556.

What is Catherine Porter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Catherine Porter enrolled in Medicare?

Yes. Catherine Porter 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 Catherine Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Porter reassigns Medicare benefits to 2 organizations: Clinical Care Associates Of The University Of Pennsylvania Health (West Chester, PA) and University Of Penn-Medical Group (Berwyn, PA). 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 Catherine Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Porter accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Catherine Porter 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 Catherine Porter affiliated with any hospitals?

According to CMS data, Catherine Porter is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Porter was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.