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KATE SCOTT ETTEFAGH MD
NPI 1295028744
Pediatrics in Greensboro, NC

Active since May 17, 2011PECOS Enrolled
301 E WENDOVER AVE, SUITE 400, GREENSBORO, NC 27401(336) 832-3150(336) 832-3151 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 20, 2023, Aug 18, 2021 (2 updates tracked since 2021).

About Kate Scott Ettefagh Md NPPES

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

KATE SCOTT ETTEFAGH MD (NPI 1295028744) is an individual pediatrics provider in Greensboro, North Carolina, licensed in North Carolina (2014-01508) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295028744
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATE SCOTT ETTEFAGHCredential: MD
Location Address301 E WENDOVER AVE, SUITE 400Greensboro, NC 27401-1230
Mailing Address301 E Wendover Ave, Suite 400Greensboro, NC 27401-1230 · (336) 832-3150 · Fax (336) 832-3151
Phone(336) 832-3150
Fax(336) 832-3151
Sole ProprietorYes
Enumeration DateMay 17, 2011
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1295028744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2014-01508
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.
301 E WENDOVER AVE, Greensboro, NC 27401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare 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)

Kate Scott Ettefagh Md 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 Reassignment

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

The Moses H. Cone Memorial Hospital Operating Corporation
0.2 mi
Nurse Anesthetist, Certified Registered
1123 N CHURCH ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 408 clinicians in this Medicare group
NPI 1164438578 (336) 832-4400

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 27401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

DR. SHRUTI VIJAYA SIMHA M.D., M.P.H
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
DENISE PEREZ-FIERY MD
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
NICOLE LYNN CHANDLER M.D.
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
BRYAN K BARTLE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
301 E WENDOVER AVE, SUITE 411
GREENSBORO, NC 27401
Guilford County (336) 832-3200
ANGELA JOLENE STANLEY MD
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
LEWIS DEAN MITCHELL MD
Family Medicine
301 E WENDOVER AVE, SUITE 215
GREENSBORO, NC 27401
Guilford County (336) 379-1156
DR. SURESH NAGAPPAN M.D.
Pediatrics
301 E WENDOVER AVE, STE 400
GREENSBORO, NC 27401
Guilford County (336) 832-3150
DR. DONALD VINCENT HECK MD
Radiology (Diagnostic Radiology)
301 E WENDOVER AVE, SUITE 411
GREENSBORO, NC 27401
Guilford County (336) 832-3210

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 Kate Ettefagh's NPI number?

The NPI number for Kate Ettefagh is 1295028744. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Kate Ettefagh located?

Kate Ettefagh practices at 301 E Wendover Ave Suite 400, Greensboro, NC 27401. The listed phone number is (336) 832-3150.

What is Kate Ettefagh's specialty?

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

Is Kate Ettefagh enrolled in Medicare?

Yes. Kate Ettefagh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kate Ettefagh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kate Ettefagh reassigns Medicare benefits to The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC). 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 Kate Ettefagh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kate Ettefagh accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Kate Ettefagh 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 Kate Ettefagh was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.