KATHERINE MARY SIEDOR PA
NPI 1285013458
Physician Assistant - Medical in Lawrenceville, GA

Active since May 21, 2015PECOS EnrolledAccepts Medicare Assignment
766 WALTHER RD, SUITE 100, LAWRENCEVILLE, GA 30046(678) 312-9100 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katherine Mary Siedor Pa NPPES

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

KATHERINE MARY SIEDOR PA (NPI 1285013458) is an individual medical provider in Lawrenceville, Georgia and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2015).

NPPES Registry Identity

NPI1285013458
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHERINE MARY SIEDORCredential: PA
Location Address766 WALTHER RD, SUITE 100Lawrenceville, GA 30046-8764
Mailing Address3000 Mornington Dr NwAtlanta, GA 30327-1222 · (404) 245-4409
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2015
Enumeration DateMay 21, 2015
NPI 1285013458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
766 WALTHER RD, Lawrenceville, GA 30046

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 Mary Siedor Pa 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 ID6608182670
PECOS Enrollment IDI20151102001554
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.

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.
259 services183 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
250 services44 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
135 services113 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
122 services95 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
52 services48 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
51 services35 patients

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%148 patients5/55-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.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Obstetrics & Gynecology
766 WALTHER RD, SUITE 200
LAWRENCEVILLE, GA 30046
Otolaryngology
766 WALTHER RD, SUITE 300
LAWRENCEVILLE, GA 30046
Obstetrics & Gynecology
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Obstetrics & Gynecology
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046
Internal Medicine (Cardiovascular Disease)
766 WALTHER RD, SUITE 100
LAWRENCEVILLE, GA 30046

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 Siedor's NPI number?

The NPI number for Katherine Siedor is 1285013458. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Katherine Siedor located?

Katherine Siedor practices at 766 Walther Rd Suite 100, Lawrenceville, GA 30046. The listed phone number is (678) 312-9100.

What is Katherine Siedor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katherine Siedor enrolled in Medicare?

Yes. Katherine Siedor 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.

When was this NPI record last updated?

The NPPES record for Katherine Siedor was last updated on May 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.