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KATHLEEN CORRY EFFLER MD
NPI 1326332339
Internal Medicine - Hospice and Palliative Medicine in Paoli, PA

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
255 W LANCASTER AVE STE 424, PAOLI, PA 19301(484) 337-2580 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2024, May 18, 2016 (2 updates tracked since 2016).

About Kathleen Corry Effler Md NPPES

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

KATHLEEN CORRY EFFLER MD (NPI 1326332339) is an individual hospice and palliative medicine provider in Paoli, Pennsylvania, licensed in Pennsylvania (MD456638) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1326332339
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameKATHLEEN CORRY EFFLERCredential: MD
Location Address255 W LANCASTER AVE STE 424Paoli, PA 19301-1763
Mailing Address4755 Ogletown Stanton Road, Suite 6e34Newark, DE 19718-2200
Phone(484) 337-2580
Sole ProprietorNo
Medical School CMSUniv Of Rochester School Of Dental MedicineGraduated 2011
Enumeration DateJune 7, 2011
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1326332339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in PA · MD456638
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License C1-0011662 (DE), MT200227 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT200227 (PA)
255 W LANCASTER AVE STE 424, Paoli, PA 19301
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Secondary Practice Location 1

Location 14755 Ogletown Stanton Road, Suite 6E34Newark, DE 19718-2200 · Phone (302) 733-4186

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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

Kathleen Corry Effler Md 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 ID1355632142
PECOS Enrollment IDI20240116000177
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
223 services103 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
123 services115 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
112 services86 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
22 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

KRISTIN ANNE VIVIANI CRNP
Nurse Practitioner (Family)
255 W LANCASTER AVE STE 424
PAOLI, PA 19301
Chester County (484) 227-2580
DR. NICHOLAS MARTIN ZINN MD
Emergency Medicine (Hospice and Palliative Medicine)
255 W LANCASTER AVE STE 424
PAOLI, PA 19301
Chester County (484) 565-2580
EVAN SCHNEIDMESSER
Internal Medicine (Hospice and Palliative Medicine)
255 W LANCASTER AVE STE 424
PAOLI, PA 19301
Chester County (516) 562-0100

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 Kathleen Effler's NPI number?

The NPI number for Kathleen Effler is 1326332339. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Kathleen Effler located?

Kathleen Effler practices at 255 W Lancaster Ave Ste 424, Paoli, PA 19301. The listed phone number is (484) 337-2580.

What is Kathleen Effler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Kathleen Effler enrolled in Medicare?

Yes. Kathleen Effler 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 Kathleen Effler accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Kathleen Effler 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 Kathleen Effler affiliated with any hospitals?

According to CMS data, Kathleen Effler is affiliated with Paoli Hospital and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Effler was last updated on January 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.