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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: October 25, 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
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Other Identifiers 4

Medicare UPINE47288NY
Medicare PINBB5236NY
Medicaid00762047NY
Medicare PINJ400040522NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kerry Katlic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western New York Medical Practice P.C
5.0 mi
Optician
500 KREAG RD
Pittsford, NY 14534
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
NPI 1871157503 (585) 249-8300
Rochester General Hospital
7.8 mi
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1760557656 (585) 922-3150

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 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.

Which organizations bill Medicare for Kerry Katlic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Katlic reassigns Medicare benefits to 2 organizations: Western New York Medical Practice P.C (Pittsford, NY) and Rochester General Hospital (Rochester, NY). 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 Kerry Katlic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.