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ROBERT KEITH CATO MD
NPI 1881626174
Internal Medicine in Philadelphia, PA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
51 N 39TH ST, PHILADELPHIA, PA 19104(215) 662-9990(215) 243-3297 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Keith Cato Md NPPES

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

ROBERT KEITH CATO MD (NPI 1881626174) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD056859L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Js Weill Medical College, Cornell University (1993).

NPPES Registry Identity

NPI1881626174
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT KEITH CATOCredential: MD
Location Address51 N 39TH STPhiladelphia, PA 19104-2640
Mailing Address51 N 39th St, Mab Suite 102Philadelphia, PA 19104-2640 · (215) 662-9990 · Fax (215) 243-3297
Phone(215) 662-9990
Fax(215) 243-3297
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1993
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 4, 2012
✔ NPI 1881626174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD056859L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
51 N 39TH ST, Philadelphia, PA 19104
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Other Identifiers 3

Medicaid0015922830004PA
Medicare UPINQ35255
Medicare PIN892227PA

Accepted Insurance

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

Robert Keith Cato 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 ID9537155825
PECOS Enrollment IDI20040422000464
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 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
264 services230 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
183 services141 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
147 services147 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers27 claims66 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims24 services$1.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 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.

DR. ROBERT BURKE M.D.
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9436
JOSEPH FRANCIS HARRYHILL MD
Urology
51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8699
NIELS DOUGLAS MARTIN MD
Surgery (Trauma Surgery)
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DESIREE E KOTARBA CRNA
Registered Nurse
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8000
DR. SONYA LEE MD
Obstetrics & Gynecology (Gynecology)
51 N 39TH ST, MOB 340
PHILA, PA 19104
Philadelphia County (215) 662-9775
GARY J VIGILANTE MD
Internal Medicine (Cardiovascular Disease)
51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9010
ANITA C LEE MD
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9436
GIRIDHAR MALLYA MD
Family Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777

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 Robert Cato's NPI number?

The NPI number for Robert Cato is 1881626174. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Robert Cato located?

Robert Cato practices at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (215) 662-9990.

What is Robert Cato's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Cato enrolled in Medicare?

Yes. Robert Cato 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 Robert Cato accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Robert Cato 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 Robert Cato affiliated with any hospitals?

According to CMS data, Robert Cato is affiliated with Hospital Of Univ Of Pennsylvania, Albert Einstein Medical Center, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Robert Cato was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.