1. Home
  2. Directory
  3. New York
  4. Penfield
  5. Pediatrics
  6. NPI Profile

DR. KERRY L KATLIC M.D.
NPI 1306814660
Pediatrics in Penfield, NY

Active since March 10, 2006PECOS Enrolled
2067 FAIRPORT NINE MILE PT RD, PENFIELD, NY 14526(585) 922-0460(585) 922-0470 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kerry L Katlic M.d. NPPES

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

DR. KERRY L KATLIC M.D. (NPI 1306814660) is an individual pediatrics provider in Penfield, New York, licensed in New York (146679) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306814660
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KERRY L KATLICCredential: M.D.
Location Address2067 FAIRPORT NINE MILE PT RDPenfield, NY 14526-1753
Mailing Address2067 Fairport Nine Mile Pt RdPenfield, NY 14526-1753 · (585) 922-0460 · Fax (585) 922-0470
Phone(585) 922-0460
Fax(585) 922-0470
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateMay 12, 2011
✔ NPI 1306814660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 146679
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.
2067 FAIRPORT NINE MILE PT RD, Penfield, NY 14526
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINE47288NY
Medicare PINBB5236NY
Medicaid00762047NY
Medicare PINJ400040522NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kerry L Katlic M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14526 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

DR. ANDREA H HERNADY M.D.
Pediatrics
2067 FAIRPORT NINE MILE PT RD
PENFIELD, NY 14526
Monroe County (585) 922-0460
DR. KEVIN E KLOSSNER M.D.
Pediatrics
2067 FAIRPORT NINE MILE PT RD
PENFIELD, NY 14526
Monroe County (585) 922-0460
HEAR FOR YOU
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2067 FAIRPORT NINE MILE PT RD
PENFIELD, NY 14526
Monroe County (585) 598-2925
LAURIE A WALSH N.P.
Nurse Practitioner (Pediatrics)
2067 FAIRPORT NINE MILE PT RD
PENFIELD, NY 14526
Monroe County (585) 922-0460

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 Kerry Katlic's NPI number?

The NPI number for Kerry Katlic is 1306814660. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Kerry Katlic located?

Kerry Katlic practices at 2067 Fairport Nine Mile Pt Rd, Penfield, NY 14526. The listed phone number is (585) 922-0460.

What is Kerry Katlic's specialty?

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

Is Kerry Katlic enrolled in Medicare?

Yes. Kerry Katlic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Katlic was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.