DR. KATHERINE ANNE O'ROURKE DO
NPI 1316900541
Family Medicine in Hillsboro, WI

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
400 WATER AVE, HILLSBORO, WI 54634(608) 489-8000 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine Anne O'rourke Do NPPES

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

DR. KATHERINE ANNE O'ROURKE DO (NPI 1316900541) is an individual family medicine provider in Hillsboro, Wisconsin, licensed in Wisconsin (51203-21) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Gundersen St Josephs Hospital And Clinics, and is a graduate of Ohio University, College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1316900541
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHERINE ANNE O'ROURKECredential: DO
Location Address400 WATER AVEHillsboro, WI 54634-9054
Mailing Address400 Water AveHillsboro, WI 54634-9054 · (608) 489-8000
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2003
Enumeration DateApril 10, 2006
Last NPPES UpdateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
NPI 1316900541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 51203-21 Licensed in KY · 02940 Licensed in OH · 34.008438
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 WATER AVE, Hillsboro, WI 54634

Accepted Insurance

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

Dr. Katherine Anne O'rourke 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 ID8921015694
PECOS Enrollment IDI20080317000263
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.

Hospital Affiliations CMS Care Compare

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

Gundersen St Josephs Hospital And Clinics

Critical Access Hospitals · Hillsboro, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521304
Location400 Water AveHillsboro, WI 54634 · Vernon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54634 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers25 claims87 services$6.46 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$788.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers22 claims23 services$8.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$118.20 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers11 claims1,484 services$0.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers22 claims22 services$177.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
400 WATER AVE
HILLSBORO, WI 54634
Family Medicine
400 WATER AVE
HILLSBORO, WI 54634
Massage Therapist
400 WATER AVE
HILLSBORO, WI 54634
Physical Therapist
400 WATER AVE
HILLSBORO, WI 54634
Dietitian, Registered
400 WATER AVE
HILLSBORO, WI 54634
Family Medicine
400 WATER AVE
HILLSBORO, WI 54634
Physician Assistant (Medical)
400 WATER AVE
HILLSBORO, WI 54634
Clinic/Center
400 WATER AVE
HILLSBORO, WI 54634

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 O'rourke's NPI number?

The NPI number for Katherine O'rourke is 1316900541. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Katherine O'rourke located?

Katherine O'rourke practices at 400 Water Ave, Hillsboro, WI 54634. The listed phone number is (608) 489-8000.

What is Katherine O'rourke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine O'rourke enrolled in Medicare?

Yes. Katherine O'rourke 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.

What insurance does Katherine O'rourke accept?

Health plans from HealthPartners, Quartz and Security Health Plan list Katherine O'rourke 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 Katherine O'rourke affiliated with any hospitals?

According to CMS data, Katherine O'rourke is affiliated with Gundersen St Josephs Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Katherine O'rourke was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.