KALI SOUTHWORTH PA-C
NPI 1770987299
Physician Assistant in Stevens Point, WI

Active since October 13, 2014PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
900 ILLINOIS AVE, STEVENS POINT, WI 54481(715) 346-5000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kali Southworth Pa-c NPPES

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

KALI SOUTHWORTH PA-C (NPI 1770987299) is an individual physician assistant in Stevens Point, Wisconsin, licensed in Wisconsin (3449-23) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770987299
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKALI SOUTHWORTHCredential: PA-C
Location Address900 ILLINOIS AVEStevens Point, WI 54481-3114
Mailing Address824 Illinois AveStevens Point, WI 54481-3112 · (715) 346-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 13, 2014
Last NPPES UpdateMarch 17, 2018
NPI 1770987299 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 WI · 3449-23
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.

900 ILLINOIS AVE, Stevens Point, WI 54481

Other Names 1

Former Name (1)Kali Matthias

Secondary Practice Locations 2

Location 1900 Illinois AveStevens Point, WI 54481-3114 · Phone (715) 346-5000
Location 24131 W Loomis Rd, Suite 300Greenfield, WI 53221-2057 · Phone (414) 325-7246 · Fax (414) 325-3770

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

Kali Southworth 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 ID6901125236
PECOS Enrollment IDI20150507001018
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 2

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54481 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,400 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
48%124 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%178 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
47%757 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
75%757 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
17%757 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%757 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers21 claims21 services$37.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers69 claims69 services$102.58 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers77 claims197 services$42.70 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers15 claims88 services$22.86 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers42 claims208 services$17.57 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers57 claims57 services$66.62 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 20

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

Hospitalist
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Nurse Anesthetist, Certified Registered
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Nurse Practitioner (Family)
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Radiology (Diagnostic Radiology)
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Physical Therapist
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Nurse Anesthetist, Certified Registered
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Occupational Therapist
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Speech-Language Pathologist
900 ILLINOIS AVE
STEVENS POINT, WI 54481

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 Kali Southworth's NPI number?

The NPI number for Kali Southworth is 1770987299. It was assigned to this individual provider in the NPPES registry on October 13, 2014. The provider is also known as Kali Matthias.

Where is Kali Southworth located?

Kali Southworth practices at 900 Illinois Ave, Stevens Point, WI 54481. The listed phone number is (715) 346-5000.

What is Kali Southworth's specialty?

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

Is Kali Southworth enrolled in Medicare?

Yes. Kali Southworth 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 Kali Southworth accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Kali Southworth 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 Kali Southworth affiliated with any hospitals?

According to CMS data, Kali Southworth is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc. and Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Kali Southworth was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.