MS. KATHLEEN RACHELLE OUTCALT D.O.
NPI 1477089175
Family Medicine in Santee, CA

Active since May 02, 2017PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
8701 CUYAMACA ST, SANTEE, CA 92071(858) 499-2715(619) 568-8081 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2020, Aug 4, 2020 (2 updates tracked since 2020).

About Ms. Kathleen Rachelle Outcalt D.o. NPPES

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

MS. KATHLEEN RACHELLE OUTCALT D.O. (NPI 1477089175) is an individual family medicine provider in Santee, California, licensed in California (20A18248) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Mesa, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477089175
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. KATHLEEN RACHELLE OUTCALTCredential: D.O.
Location Address8701 CUYAMACA STSantee, CA 92071
Mailing Address5525 Grossmont Center DrLa Mesa, CA 91942-3009 · (858) 499-2900
Fax(619) 568-8081
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 2, 2017
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
NPI 1477089175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A18248
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.
8701 CUYAMACA ST, Santee, CA 92071

Secondary Practice Location 1

Location 15525 Grossmont Center DrLA Mesa, CA 91942-3009 · Phone (858) 499-2600

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

Ms. Kathleen Rachelle Outcalt D.o. 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 ID1951727569
PECOS Enrollment IDI20240816003572
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 6

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 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.
77 services69 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
73 services64 patients
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.
73 services69 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92071 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims28 services$6.36 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.

Occupational Therapist
8701 CUYAMACA ST
SANTEE, CA 92071
Physical Therapist (Orthopedic)
8701 CUYAMACA ST
SANTEE, CA 92071
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
8701 CUYAMACA ST
SANTEE, CA 92071
Family Medicine
8701 CUYAMACA ST
SANTEE, CA 92071
Family Medicine
8701 CUYAMACA ST
SANTEE, CA 92071
Internal Medicine
8701 CUYAMACA ST
SANTEE, CA 92071
Family Medicine
8701 CUYAMACA ST
SANTEE, CA 92071
Physical Therapist
8701 CUYAMACA ST
SANTEE, CA 92071

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 Outcalt's NPI number?

The NPI number for Kathleen Outcalt is 1477089175. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Kathleen Outcalt located?

Kathleen Outcalt practices at 8701 Cuyamaca St, Santee, CA 92071. The listed phone number is (858) 499-2715.

What is Kathleen Outcalt's specialty?

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

Is Kathleen Outcalt enrolled in Medicare?

Yes. Kathleen Outcalt 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 Outcalt accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Kathleen Outcalt 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.

When was this NPI record last updated?

The NPPES record for Kathleen Outcalt was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.