KATHERINE M HOYER MD
NPI 1932214822
Family Medicine in Milwaukee, WI

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
6901 W EDGERTON AVE, MILWAUKEE, WI 53220(414) 421-8400 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Dec 3, 2021 (2 updates tracked since 2021).

About Katherine M Hoyer Md NPPES

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

KATHERINE M HOYER MD (NPI 1932214822) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (31558) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1989).

NPPES Registry Identity

NPI1932214822
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHERINE M HOYERCredential: MD
Location Address6901 W EDGERTON AVEMilwaukee, WI 53220-4420
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1989
Enumeration DateAugust 20, 2006
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1932214822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 31558
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6901 W EDGERTON AVE, Milwaukee, WI 53220

Other Identifiers 1

Medicaid31633500WI

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

Katherine M Hoyer 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 ID8123090297
PECOS Enrollment IDI20040810000016
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 2

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.
35 services34 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.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53220 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Durable Medical Equipment & Medical Supplies
6901 W EDGERTON AVE
MILWAUKEE, WI 53220
Family Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Internal Medicine (Critical Care Medicine)
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Internal Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Pediatrics
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Physician Assistant
6901 W EDGERTON AVE
GREENFIELD, WI 53220

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 Katherine Hoyer's NPI number?

The NPI number for Katherine Hoyer is 1932214822. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Katherine Hoyer located?

Katherine Hoyer practices at 6901 W Edgerton Ave, Milwaukee, WI 53220. The listed phone number is (414) 421-8400.

What is Katherine Hoyer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katherine Hoyer enrolled in Medicare?

Yes. Katherine Hoyer 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 Katherine Hoyer accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Katherine Hoyer 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.

When was this NPI record last updated?

The NPPES record for Katherine Hoyer was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.