DR. KATHERINE SHERMAN BLEVINS M.D., PH.D.
NPI 1609295658
Surgery in Newport Beach, CA

Q: What is Katherine Blevins's NPI number?

The NPI number for Katherine Blevins is 1609295658. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Katherine Blevins's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Blevins was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment

84.41/100

CMS Quality Rating

500 SUPERIOR AVE STE 100, NEWPORT BEACH, CA 92663(949) 764-5350(949) 764-8557 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2023, Apr 28, 2022, Aug 5, 2021 and 1 more (4 updates tracked since 2021).

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About Dr. Katherine Sherman Blevins M.d., Ph.d. NPPES

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

DR. KATHERINE SHERMAN BLEVINS M.D., PH.D. (NPI 1609295658) is an individual surgery provider in Newport Beach, California, licensed in California (A138064) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2014).

NPPES Registry Identity

NPI1609295658

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. KATHERINE SHERMAN BLEVINSCredential: M.D., PH.D.

Location Address500 SUPERIOR AVE STE 100Newport Beach, CA 92663-3660

Mailing Address500 Superior Ave Ste 100Newport Beach, CA 92663-3660 · (949) 764-5350 · Fax (949) 764-8557

Phone(949) 764-5350

Fax(949) 764-8557

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2014

Enumeration DateApril 7, 2014

Last NPPES UpdateJune 16, 20234 updates tracked since enumeration

NPPES CertifiedJune 16, 2023

✔ NPI 1609295658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A138064

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

500 SUPERIOR AVE STE 100, Newport Beach, CA 92663

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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 Sherman Blevins M.d., Ph.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 ID2062816051

PECOS Enrollment IDI20210812003680

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.

69 services45 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.

48 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

39 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services23 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.

17 services14 patients

Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282

This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

84.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.67

Promoting Interoperability

100

Improvement Activities

Cost

57.36

Other Providers at the Same Location NPPES 10

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

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