KATHRYN ELIZABETH MARCINOWSKI PA-C
NPI 1629403712
Physician Assistant in Fort Worth, TX

Q: What is Kathryn Marcinowski's NPI number?

The NPI number for Kathryn Marcinowski is 1629403712. It was assigned to this individual provider in the NPPES registry on September 7, 2013. The provider is also known as Katie Tucker Pa-C.

Q: What is Kathryn Marcinowski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 07, 2013PECOS EnrolledAccepts Medicare Assignment

80.24/100

CMS Quality Rating

1017 12TH AVE, FORT WORTH, TX 76104(817) 334-2800(817) 820-0094 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2021, Aug 5, 2021, Jul 13, 2016 (3 updates tracked since 2016).

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About Kathryn Elizabeth Marcinowski Pa-c NPPES

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

KATHRYN ELIZABETH MARCINOWSKI PA-C (NPI 1629403712) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1629403712

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHRYN ELIZABETH MARCINOWSKICredential: PA-C

Location Address1017 12TH AVEFort Worth, TX 76104-3915

Mailing Address1017 12th AveFort Worth, TX 76104-3915 · (817) 334-2800 · Fax (817) 820-0094

Phone(817) 334-2800

Fax(817) 820-0094

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 7, 2013

Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration

NPPES CertifiedOctober 12, 2021

✔ NPI 1629403712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1017 12TH AVE, Fort Worth, TX 76104

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Other Names 1

Former Name (1)Katie Tucker Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.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

Kathryn Elizabeth Marcinowski Pa-c 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 ID4082843396

PECOS Enrollment IDI20140208000054

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 4

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.

154 services117 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

53 services52 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.

53 services47 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.

37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

80.24/100

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

Scored as part of a group practice

Quality

85.51

Promoting Interoperability

100

Improvement Activities

Cost

48.65

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Other Providers at the Same Location NPPES 18

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

DANIELLE L KING PA-C

Physician Assistant