DR. KATHERINE WIGHTMAN M.D.
NPI 1467489880
Family Medicine in East Setauket, NY

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
181 N BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 444-0624 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Katherine Wightman M.d. NPPES

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

DR. KATHERINE WIGHTMAN M.D. (NPI 1467489880) is an individual family medicine provider in East Setauket, New York, licensed in New York (207623) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1995).

NPPES Registry Identity

NPI1467489880
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHERINE WIGHTMANCredential: M.D.
Location Address181 N BELLE MEAD RDEast Setauket, NY 11733-3495
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0624
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1995
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1467489880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 207623
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.

181 N BELLE MEAD RD, East Setauket, NY 11733

Other Identifiers 5

Other24Z681NY · Empire Bc.bs
Medicare UPING80660NY
Medicaid01871810NY
Medicare ID-Type Unspecified24Z681NY
Other5895678NY · Aetna

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 Wightman 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 ID1456488394
PECOS Enrollment IDI20100423000475
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services41 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services12 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers16 claims3,959 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers16 claims16 services$24.40 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 20

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

Radiology (Radiation Oncology)
181 N BELLE MEAD RD, SUITE 1
EAST SETAUKET, NY 11733
Dietitian, Registered
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Nurse Practitioner (Family)
181 N BELLE MEAD RD, SUITE 2
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Dermatology
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733

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 Wightman's NPI number?

The NPI number for Katherine Wightman is 1467489880. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Katherine Wightman located?

Katherine Wightman practices at 181 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (631) 444-0624.

What is Katherine Wightman's specialty?

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

Is Katherine Wightman enrolled in Medicare?

Yes. Katherine Wightman 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.

Is Katherine Wightman affiliated with any hospitals?

According to CMS data, Katherine Wightman is affiliated with Good Samaritan Hospital Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Wightman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.