KATHERINE BERNADETTE SANTOSA MD
NPI 1437410511
Surgery - Plastic and Reconstructive Surgery in Atlanta, GA

Active since June 05, 2012PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
5667 PEACHTREE DUNWOODY RD STE 310, ATLANTA, GA 30342(404) 902-2485(404) 857-3696 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2025, May 6, 2022 (2 updates tracked since 2022).

About Katherine Bernadette Santosa Md NPPES

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

KATHERINE BERNADETTE SANTOSA MD (NPI 1437410511) is an individual plastic and reconstructive surgery provider in Atlanta, Georgia, licensed in Georgia (87537) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Washington University School Of Medicine (2012).

NPPES Registry Identity

NPI1437410511
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameKATHERINE BERNADETTE SANTOSACredential: MD
Location Address5667 PEACHTREE DUNWOODY RD STE 310Atlanta, GA 30342-1725
Mailing Address875 Johnson Fy Rd NeAtlanta, GA 30342-1418
Fax(404) 857-3696
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 2012
Enumeration DateJune 5, 2012
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1437410511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in GA · 87537
Definition
A surgeon who specializes in plastic and reconstructive surgery.
5667 PEACHTREE DUNWOODY RD STE 310, Atlanta, GA 30342

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Katherine Bernadette Santosa 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 ID8426287251
PECOS Enrollment IDI20220725002432
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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Physician Assistant (Surgical)
5667 PEACHTREE DUNWOODY RD STE 310
ATLANTA, GA 30342

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 Santosa's NPI number?

The NPI number for Katherine Santosa is 1437410511. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Katherine Santosa located?

Katherine Santosa practices at 5667 Peachtree Dunwoody Rd Ste 310, Atlanta, GA 30342. The listed phone number is (404) 902-2485.

What is Katherine Santosa's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Katherine Santosa enrolled in Medicare?

Yes. Katherine Santosa 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 Santosa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Katherine Santosa 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 Santosa affiliated with any hospitals?

According to CMS data, Katherine Santosa is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Santosa was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.