DR. ARTHUR H KATZ M.D.
NPI 1417944109
Otolaryngology in Munster, IN

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
72.75/100
CMS Quality Rating
1950 45TH STREET, SUITE 205, MUNSTER, IN 46321(219) 934-9396(219) 924-7899 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Arthur H Katz M.d. NPPES

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

DR. ARTHUR H KATZ M.D. (NPI 1417944109) is an individual otolaryngology provider in Munster, Indiana, licensed in Indiana (01027712A) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Chicago College Of Medicine And Surgery (1976).

NPPES Registry Identity

NPI1417944109
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ARTHUR H KATZCredential: M.D.
Location Address1950 45TH STREET, SUITE 205Munster, IN 46321-3927
Mailing Address1950 45th Street, Suite 205Munster, IN 46321-3927 · (219) 934-9396 · Fax (219) 924-7899
Fax(219) 924-7899
Sole ProprietorYes
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1976
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJanuary 13, 2017
NPI 1417944109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in IN · 01027712A Licensed in IL · 036-055188
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1950 45TH STREET, Munster, IN 46321

Other Identifiers 23

Other363140314IN · Champus/tricare (mu)
Other363140314CIN · Humana
Other363140314CIL · Humana
Other520377IN · United Healthcare
Medicare PIN499320IN
OtherK34318IL · Medicare Id - Type Unspecified
Medicare PINDG1381IL
Medicaid200859940BIN
Medicaid200859940AIN
Medicare PIN2000003500IN
Other363140314001IN · Champus/tricare (me)
Other4028726IN · Aetna
Other4028726IL · Aetna
Other520377IL · United Healthcare
Medicaid036055188IL
Medicare PIN214601IL
Other000000095404IN · Anthem Bcbs Of In
Other2275913IN · Aetna
Other363140314002IL · Champus/tricare
Medicare UPINC25252
Medicare PIN240000004IL
Other21609195IL · Blue Cross Blue Shield
Other2275913IL · Aetna

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. Arthur H Katz M.d. 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 ID6901701408
PECOS Enrollment IDI20031205000653, I20070130000250
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 14

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
5,054 services56 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
893 services409 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
801 services353 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
645 services21 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
262 services11 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
235 services232 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140172
Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

72.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.66
Improvement Activities40
Cost65.55

Reported Quality Measures

Breast Cancer Screening
0%641 patients1/55-star benchmark: 93%
Chlamydia Screening for Women
0%32 patients
Closing the Referral Loop: Receipt of Specialist Report
10%20 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,242 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
54%5,041 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%2,031 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%4,357 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,755 patients
0%1,755 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 978 patients
Patients totalRate: 0% · 978 patients
0%978 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers15 claims15 services$34.27 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$69.22 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers17 claims98 services$17.16 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers24 claims93 services$10.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers34 claims34 services$45.71 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers25 claims25 services$14.40 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

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

Clinic/Center
1950 45TH STREET
MUNSTER, IN 46321

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 Arthur Katz's NPI number?

The NPI number for Arthur Katz is 1417944109. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Arthur Katz located?

Arthur Katz practices at 1950 45th Street Suite 205, Munster, IN 46321. The listed phone number is (219) 934-9396.

What is Arthur Katz's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Arthur Katz enrolled in Medicare?

Yes. Arthur Katz 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 Arthur Katz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 1 other insurer list Arthur Katz 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 Arthur Katz affiliated with any hospitals?

According to CMS data, Arthur Katz is affiliated with Advocate Trinity Hospital, Franciscan Health Olympia & Chicago Heights and Community Hospital.

When was this NPI record last updated?

The NPPES record for Arthur Katz was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.