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DR. KATHERINE STALBAUM MD
NPI 1750025714
Pediatrics in Saint John, IN

Active since April 26, 2022PECOS Enrolled
10860 MAPLE LN, SAINT JOHN, IN 46373(219) 365-7000(219) 365-2609 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2025, Apr 26, 2022 (2 updates tracked since 2022).

About Dr. Katherine Stalbaum Md NPPES

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

DR. KATHERINE STALBAUM MD (NPI 1750025714) is an individual pediatrics provider in Saint John, Indiana, licensed in Indiana (01096446A) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1750025714
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHERINE STALBAUMCredential: MD
Location Address10860 MAPLE LNSaint John, IN 46373-8418
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(219) 365-7000
Fax(219) 365-2609
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2022
Enumeration DateApril 26, 2022
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1750025714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01096446A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10860 MAPLE LN, Saint John, IN 46373
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Other Names 1

Former Name (1)Katherine Clemens

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Dr. Katherine Stalbaum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294114237
PECOS Enrollment IDI20250805000096
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46373 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 5

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

DR. DANA ELSHERIF M.D.
Family Medicine
10860 MAPLE LN
SAINT JOHN, IN 46373
Lake County (219) 365-7000
CHANDANA VAVILALA MD
Internal Medicine
10860 MAPLE LN
SAINT JOHN, IN 46373
Lake County (219) 365-7000
ST MARGARET MERCY HEALTHCARE CENTERS
Family Medicine
10860 MAPLE LN
SAINT JOHN, IN 46373
Lake County (219) 365-7000
DAVID DESCHEPPER M.D.
Family Medicine
10860 MAPLE LN
SAINT JOHN, IN 46373
Lake County (219) 365-7000
MRS. ABIGAIL MAE BOERSMA FNP
Nurse Practitioner (Family)
10860 MAPLE LN
SAINT JOHN, IN 46373
Lake County (219) 365-7000

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 Stalbaum's NPI number?

The NPI number for Katherine Stalbaum is 1750025714. It was assigned to this individual provider in the NPPES registry on April 26, 2022. The provider is also known as Katherine Clemens.

Where is Katherine Stalbaum located?

Katherine Stalbaum practices at 10860 Maple Ln, Saint John, IN 46373. The listed phone number is (219) 365-7000.

What is Katherine Stalbaum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katherine Stalbaum enrolled in Medicare?

Yes. Katherine Stalbaum is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Stalbaum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Katherine Stalbaum 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 Katherine Stalbaum was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.