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THEODORE LAWRENCE KATNER M.D.
NPI 1922233600
Psychiatry & Neurology - Neurology in Owensboro, KY

Active since May 24, 2009PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1301 PLEASANT VALLEY RD, SUITE 500C, OWENSBORO, KY 42303(270) 417-7830(270) 417-7839 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 8, 2022, Apr 5, 2021, Jan 8, 2021 and 1 more (4 updates tracked since 2020).

About Theodore Lawrence Katner M.d. NPPES

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

THEODORE LAWRENCE KATNER M.D. (NPI 1922233600) is an individual neurology provider in Owensboro, Kentucky, licensed in Kentucky (TP058) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1922233600
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTHEODORE LAWRENCE KATNERCredential: M.D.
Location Address1301 PLEASANT VALLEY RD, SUITE 500COwensboro, KY 42303-9774
Mailing Address1 Medical Center DrMorgantown, WV 26506-1200 · (304) 598-4820
Phone(270) 417-7830
Fax(270) 417-7839
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2008
Enumeration DateMay 24, 2009
Last NPPES UpdateApril 8, 20224 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1922233600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in KY · TP058✔ Licensed in WV · 27089✔ Licensed in KY · R2298
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License R2298 (KY)
1301 PLEASANT VALLEY RD, Owensboro, KY 42303
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Secondary Practice Location 1

Location 11 Medical Center DrMorgantown, WV 26506 · Phone (304) 598-4820

Other Identifiers 1

OtherR2298KY · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Peak Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore Lawrence Katner M.d. 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 ID2466673785
PECOS Enrollment IDI20161025001903
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Theodore Katner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Princeton Community Hospital Assn., Inc.
328 mi
General Acute Care Hospital
122 12TH STREET EXT
Princeton, WV 24740
  • Reassigned Medicare billing, West Virginia enrollment
  • 280 clinicians in this Medicare group
NPI 1558313213 (304) 487-7000
St Josephs Hospital Of Buckhannon Inc
380 mi
Critical Access
1 AMALIA DR
Buckhannon, WV 26201
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: St Joseph's Hospital Of Buckhannon Inc
  • 189 clinicians in this Medicare group
NPI 1124005061 (304) 473-2000
Monongalia County General Hospital Company
383 mi
Family Medicine
800 E MAIN ST, SUITE B
Mannington, WV 26582
  • Reassigned Medicare billing, West Virginia enrollment
  • 318 clinicians in this Medicare group
NPI 1750785366 (304) 986-2996
West Virginia University Medical Corporation
385 mi
Clinical Medical Laboratory
527 MEDICAL PARK DR, SUITE 108
Bridgeport, WV 26330
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1457605404 (304) 848-2152
Preston Memorial Hospital Corporation
416 mi
Emergency Medicine
150 MEMORIAL DR
Kingwood, WV 26537
  • Reassigned Medicare billing, West Virginia enrollment
  • 159 clinicians in this Medicare group
NPI 1841230661 (304) 329-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

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.
109 services49 patients
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.
81 services77 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
36 services35 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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. BERHANEMESKEL NESKETA M.D.
Internal Medicine (Pulmonary Disease)
1301 PLEASANT VALLEY RD, SUITE 404
OWENSBORO, KY 42303
Daviess County (270) 417-7500
MRS. CATHERINE ELIZABETH BOWLDS APRN
Nurse Practitioner (Family)
1301 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Daviess County (270) 929-5731
MR. RICHARD S. BURGAN PA-C
Physician Assistant
1301 PLEASANT VALLEY RD, SUITE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500
OWENSBORO HEALTH MEDICAL GROUP, INC
Podiatrist (Foot & Ankle Surgery)
1301 PLEASANT VALLEY RD, SUITE 500B
OWENSBORO, KY 42303
Daviess County (270) 417-7940
OWENSBORO HEALTH INC
Pharmacy (Community/Retail Pharmacy)
1301 PLEASANT VALLEY RD, SUITE 104
OWENSBORO, KY 42303
Daviess County (270) 417-6701
LAUREN MAHONEY
Physician Assistant
1301 PLEASANT VALLEY RD, SUITE 500B
OWENSBORO, KY 42303
Daviess County (270) 417-7940
THOMAS N. TABB M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1301 PLEASANT VALLEY RD, SUITE 300
OWENSBORO, KY 42303
Daviess County (270) 417-7700
DR. CHRISTOPHER J. HAVELDA M.D.
Internal Medicine (Cardiovascular Disease)
1301 PLEASANT VALLEY RD, SUITE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500

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 Theodore Katner's NPI number?

The NPI number for Theodore Katner is 1922233600. It was assigned to this individual provider in the NPPES registry on May 24, 2009.

Where is Theodore Katner located?

Theodore Katner practices at 1301 Pleasant Valley Rd Suite 500C, Owensboro, KY 42303. The listed phone number is (270) 417-7830.

What is Theodore Katner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Theodore Katner enrolled in Medicare?

Yes. Theodore Katner 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.

Which organizations bill Medicare for Theodore Katner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Katner reassigns Medicare benefits to 5 organizations: Princeton Community Hospital Assn., Inc. (Princeton, WV), St Josephs Hospital Of Buckhannon Inc (Buckhannon, WV), Monongalia County General Hospital Company (Mannington, WV), West Virginia University Medical Corporation (Bridgeport, WV) and Preston Memorial Hospital Corporation (Kingwood, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Katner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Katner accept?

Health plans from Peak Health Insurance list Theodore Katner 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 Theodore Katner affiliated with any hospitals?

According to CMS data, Theodore Katner is affiliated with West Virginia University Hospitals, Inc, Princeton Community Hospital, Wheeling Hospital, Inc, Camden Clark Medical Center and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Theodore Katner was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.