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DR. KATHLEEN PENCEK MD
NPI 1356900963
Internal Medicine in Baltimore, MD

Active since June 07, 2019Opted out of Medicare · through Mar 3, 2028
74.39/100
CMS Quality Rating
5200 EASTERN AVE FL EAST2, BALTIMORE, MD 21224(410) 550-5018(410) 550-2972 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2022, Jun 7, 2019 (2 updates tracked since 2019).

About Dr. Kathleen Pencek Md NPPES

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

DR. KATHLEEN PENCEK MD (NPI 1356900963) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D93022) and active in the NPI registry since June 2019. She has opted out of Medicare through March 3, 2028 and remains eligible to order and refer, is affiliated with Greater Baltimore Medical Center, and maintains a secondary practice location in Falls Church.

NPPES Registry Identity

NPI1356900963
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATHLEEN PENCEKCredential: MD
Location Address5200 EASTERN AVE FL EAST2Baltimore, MD 21224-2734
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Phone(410) 550-5018
Fax(410) 550-2972
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019
Enumeration DateJune 7, 2019
Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1356900963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D93022
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5200 EASTERN AVE FL EAST2, Baltimore, MD 21224
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Secondary Practice Location 1

Location 13300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-3582

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kathleen Pencek Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 3, 2026 through March 3, 2028.

Opt-Out Effective DateMarch 3, 2026
Opt-Out In Effect ThroughMarch 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 3

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.
172 services80 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
42 services42 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.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

RAUL HIEDRA MD
Hospitalist
5200 EASTERN AVE FL EAST2
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
MARGARET ANNE MALLARI DO
Internal Medicine
5200 EASTERN AVE FL EAST2
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. AMTESHWAR SINGH M.B.B.S., M.D.
Internal Medicine
5200 EASTERN AVE FL EAST2
BALTIMORE, MD 21224
Baltimore City (410) 550-5018

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 Pencek's NPI number?

The NPI number for Kathleen Pencek is 1356900963. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Kathleen Pencek located?

Kathleen Pencek practices at 5200 Eastern Ave Fl East2, Baltimore, MD 21224. The listed phone number is (410) 550-5018.

What is Kathleen Pencek's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kathleen Pencek enrolled in Medicare?

No. Kathleen Pencek has opted out of Medicare through March 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Kathleen Pencek affiliated with any hospitals?

According to CMS data, Kathleen Pencek is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Kathleen Pencek was last updated on November 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.