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KATIE NICOLE FRANTZ PA-C
NPI 1639769573
Physician Assistant in Cumberland, MD

Active since January 25, 2021PECOS EnrolledAccepts Medicare Assignment
86.92/100
CMS Quality Rating
12502 WILLOWBROOK RD STE 680, CUMBERLAND, MD 21502(240) 964-8921(240) 964-8922 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Aug 10, 2021, May 14, 2021 and 1 more (4 updates tracked since 2021).

About Katie Nicole Frantz Pa-c NPPES

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

KATIE NICOLE FRANTZ PA-C (NPI 1639769573) is an individual physician assistant in Cumberland, Maryland, licensed in Maryland (C07909) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and maintains a secondary practice location in Cumberland.

NPPES Registry Identity

NPI1639769573
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE NICOLE FRANTZCredential: PA-C
Location Address12502 WILLOWBROOK RD STE 680Cumberland, MD 21502-6620
Mailing AddressPo Box 1671Cumberland, MD 21501-1671 · (240) 964-8342 · Fax (240) 964-8337
Phone(240) 964-8921
Fax(240) 964-8922
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 25, 2021
Last NPPES UpdateMay 23, 20224 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1639769573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C07909
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.
12502 WILLOWBROOK RD STE 680, Cumberland, MD 21502
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Secondary Practice Location 1

Location 112500 Willowbrook RdCumberland, MD 21502-6393 · Phone (240) 964-7000 · Fax (240) 964-8922

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Katie Nicole Frantz 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 ID7719386994
PECOS Enrollment IDI20210519002276
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 11

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.
298 services234 patients
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.
198 services175 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.
102 services102 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.
56 services53 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
45 services45 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

86.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Promoting Interoperability100
Improvement Activities40
Cost80.8

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims27 services$17.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers38 claims38 services$88.35 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$33.35 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers21 claims21 services$23.63 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 2

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

MRS. JESSICA MCCARTY FNP-C
Nurse Practitioner (Primary Care)
12502 WILLOWBROOK RD STE 680
CUMBERLAND, MD 21502
Allegany County (240) 860-2163
KATIE RITCHEY CRNP
Nurse Practitioner (Adult Health)
12502 WILLOWBROOK RD STE 680
CUMBERLAND, MD 21502
Allegany County (240) 964-8945

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 Katie Frantz's NPI number?

The NPI number for Katie Frantz is 1639769573. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Katie Frantz located?

Katie Frantz practices at 12502 Willowbrook Rd Ste 680, Cumberland, MD 21502. The listed phone number is (240) 964-8921.

What is Katie Frantz's specialty?

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

Is Katie Frantz enrolled in Medicare?

Yes. Katie Frantz 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 Katie Frantz accept?

Health plans from CareSource list Katie Frantz 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 Katie Frantz affiliated with any hospitals?

According to CMS data, Katie Frantz is affiliated with Western Maryland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Katie Frantz was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.