MRS. KATIE GREENE PEGRAM MD
NPI 1780977207
Pediatrics in Clarksville, TN

Q: What is Katie Pegram's NPI number?

The NPI number for Katie Pegram is 1780977207. It was assigned to this individual provider in the NPPES registry on May 17, 2011. The provider is also known as Miss Katie Marie Greene.

Q: What is Katie Pegram's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Pegram was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 17, 2011PECOS Enrolled

490 DUNLOP LN, CLARKSVILLE, TN 37040(931) 245-8400 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2022, Nov 19, 2021, Dec 12, 2019 (3 updates tracked since 2019).

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About Mrs. Katie Greene Pegram Md NPPES

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

MRS. KATIE GREENE PEGRAM MD (NPI 1780977207) is an individual pediatrics provider in Clarksville, Tennessee, licensed in Tennessee (51676) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780977207

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. KATIE GREENE PEGRAMCredential: MD

Location Address490 DUNLOP LNClarksville, TN 37040-5007

Mailing AddressPo Box 3799Clarksville, TN 37043-3799 · (931) 245-7000

Phone(931) 245-8400

Sole ProprietorYes

Enumeration DateMay 17, 2011

Last NPPES UpdateAugust 29, 20223 updates tracked since enumeration

NPPES CertifiedAugust 29, 2022

✔ NPI 1780977207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TN · 51676

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

490 DUNLOP LN, Clarksville, TN 37040

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Other Names 1

Former Name (1)Miss Katie Marie Greene

Other Identifiers 1

MedicaidQ028432TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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)

Mrs. Katie Greene Pegram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37040 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

CYREE COLLIER M.D.

Family Medicine