KATHERINE SU MD
NPI 1689063919
Dermatology in Manchester, NH

Active since January 09, 2015PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
100 HITCHCOCK WAY, MANCHESTER, NH 03104(603) 308-1472 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Aug 15, 2019, Jul 9, 2018 (3 updates tracked since 2018).

About Katherine Su Md NPPES

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

KATHERINE SU MD (NPI 1689063919) is an individual dermatology provider in Manchester, New Hampshire, licensed in New Hampshire (24057) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1689063919
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKATHERINE SUCredential: MD
Location Address100 HITCHCOCK WAYManchester, NH 03104-4125
Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1472
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2018
Enumeration DateJanuary 9, 2015
Last NPPES UpdateAugust 14, 20233 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
NPI 1689063919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in NH · 24057 Licensed in MA · 291574
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
100 HITCHCOCK WAY, Manchester, NH 03104

Other Names 1

Former Name (1)Katherine Levandoski

Secondary Practice Location 1

Location 1281 Lincoln StWorcester, MA 01605-2138 · Phone (508) 334-5979

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

Katherine Su Md 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 ID941536197
PECOS Enrollment IDI20231010002233
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.

Hospital Affiliations CMS Care Compare

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03104 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Dermatology
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Physician Assistant (Surgical)
100 HITCHCOCK WAY, D-H MANCHESTER, GENERAL SURGERY
MANCHESTER, NH 03104
Podiatrist (Foot & Ankle Surgery)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Urology
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Nurse Practitioner
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Radiology (Diagnostic Radiology)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Internal Medicine (Rheumatology)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Anesthesiology
100 HITCHCOCK WAY
MANCHESTER, NH 03104

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 Su's NPI number?

The NPI number for Katherine Su is 1689063919. It was assigned to this individual provider in the NPPES registry on January 9, 2015. The provider is also known as Katherine Levandoski.

Where is Katherine Su located?

Katherine Su practices at 100 Hitchcock Way, Manchester, NH 03104. The listed phone number is (603) 308-1472.

What is Katherine Su's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Katherine Su enrolled in Medicare?

Yes. Katherine Su 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 Katherine Su accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Katherine Su 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 Katherine Su affiliated with any hospitals?

According to CMS data, Katherine Su is affiliated with Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Su was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.