KATJA N TANDARICH NP-C
NPI 1801331210
Nurse Practitioner - Family in Saint Clair Shores, MI

Active since December 21, 2016PECOS EnrolledAccepts Medicare Assignment
83.35/100
CMS Quality Rating
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: March 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2017, Dec 21, 2016 (2 updates tracked since 2016).

About Katja N Tandarich Np-c NPPES

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

KATJA N TANDARICH NP-C (NPI 1801331210) is an individual family provider in Saint Clair Shores, Michigan, licensed in Michigan (4704210394) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1801331210
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATJA N TANDARICHCredential: NP-C
Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081-1116
Mailing Address21000 E 12 Mile Rd, Suite 111Saint Clair Shores, MI 48081-1116 · (586) 779-7610
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 21, 2016
Last NPPES UpdateMarch 5, 20172 updates tracked since enumeration
NPI 1801331210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704210394
21000 E 12 MILE RD, Saint Clair Shores, MI 48081

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

Katja N Tandarich Np-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 ID42597916
PECOS Enrollment IDI20170502000370
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 12

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 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.
601 services430 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
424 services294 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
352 services347 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
278 services271 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
239 services239 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
130 services128 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension River District Hospital

Acute Care Hospitals · East China, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230241
Location4100 River RdEast China, MI 48054 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
25%59 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
24%123 patients2/55-star benchmark: 85%
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.
94%558 patients4/55-star benchmark: 99%
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.
100%186 patients5/55-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.
45%333 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…
60%333 patients3/55-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…
19%333 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.
21%333 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.

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.

Otolaryngology (Sleep Medicine)
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Audiologist-Hearing Aid Fitter
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081
Allergy & Immunology
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

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 Katja Tandarich's NPI number?

The NPI number for Katja Tandarich is 1801331210. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Katja Tandarich located?

Katja Tandarich practices at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Katja Tandarich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katja Tandarich enrolled in Medicare?

Yes. Katja Tandarich 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 Katja Tandarich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Katja Tandarich 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 Katja Tandarich affiliated with any hospitals?

According to CMS data, Katja Tandarich is affiliated with Henry Ford Macomb Hospital, Ascension St John Hospital and Ascension River District Hospital.

When was this NPI record last updated?

The NPPES record for Katja Tandarich was last updated on March 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.