KATHERINE D HOLLAND M.D.
NPI 1902830532
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Cincinnati, OH

NPI Status: Active since July 10, 2006

Contact Information

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-4222
Fax: (513) 636-1888

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  • Individual
  • Female
  • Years of Experience 35
  • Psychiatry & Neurology
  • Neurology with Special Qualifications in...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KATHERINE HOLLAND

This page provides the complete NPI Profile along with additional information for Katherine Holland, a provider established in Cincinnati, Ohio with a medical specialization in Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology and more than 35 years of experience. She graduated from Washington University School Of Medicine in 1991. The healthcare provider is registered in the NPI registry with number 1902830532 assigned on July 2006. The practitioner's primary taxonomy code is 2084N0402X with license number 35.077960 (OH). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1902830532
Provider Name
KATHERINE D HOLLAND M.D.
Gender
Female
Entity Type
Individual
Location Address
3333 BURNET AVE ML 2015 CINCINNATI, OH 45229
Location Phone
(513) 636-4222
Location Fax
(513) 636-1888
Mailing Address
3333 BURNET AVE ML 2015 CINCINNATI, OH 45229
Mailing Phone
(513) 636-4222
Mailing Fax
(513) 636-1888
Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1991
Is Sole Proprietor?
No
Enumeration Date
07-10-2006
Last Update Date
01-29-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

Taxonomy Code
2084N0402X
Type
Allopathic & Osteopathic Physicians
License No.
35.077960
License State
OH
Taxonomy Description
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1250 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5000 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO
  • SilverSelect w/ Virtual & Wellness ON-EX - HMO
  • Young Adult Essentials ON-EX - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Katherine Holland is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Katherine Holland is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113827395

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040113000213

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.53 for a new patient copayment and $24.11 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 45229 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.12
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902830532
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902163056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 6 + 3 + 0 + 5 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1902830532 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

THOMAS DYE M.D.

Psychiatry & Neurology

(Neurology with Special Qualifications in Child Neurology)

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229

(513) 636-4222

MARIELLE KABBOUCHE SAMAHA M.D.

Psychiatry & Neurology

(Neurology with Special Qualifications in Child Neurology)

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229

(513) 636-4222

DR. HOPE LORRAINE O'BRIEN MD

Psychiatry & Neurology

(Neurology with Special Qualifications in Child Neurology)

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229

(513) 636-4222

RACHAEL HEATHER RASKIN ARNP

Nurse Practitioner

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229

(513) 636-4222

MATTHEW T GRACE NP-C

Nurse Practitioner

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229

(513) 636-4222

BARBARA ANN RHYMER APRN

Nurse Practitioner

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229

(513) 636-4222

JESSICA ANN SAUNDERS MD

Psychiatry & Neurology

(Neurology with Special Qualifications in Child Neurology)

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229

(513) 636-4222

ELIZABETH WILSON MD

Psychiatry & Neurology

(Neurology)

3333 BURNET AVE ML 2015
CINCINNATI, OH
ZIP 45229

(513) 636-4222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902830532, enumerated as an "individual" on July 10, 2006.

The provider is located at 3333 BURNET AVE ML 2015 CINCINNATI, OH 45229 and the phone number is (513) 636-4222.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.

The provider might be accepting Accepts: CareSource and MedMutual. Please consult your insurance carrier or call the provider to verify.