DR. KATHERINE A KWIATKOWSKI (MD) – Psychiatry Physician, NPI 1003076399
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
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Provider Addresses for DR. KATHERINE A KWIATKOWSKI (MD)
Carle Champaign on Kirby, 1813, West Kirby Avenue, Champaign, Champaign County, Illinois, 61821, United States
STE. 120
CHAMPAIGN, IL 618215410
Phone: (217) 383-1850
Fax: (217) 383-3439
Type: Location
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone: (650) 853-2904
Type: Mailing
795 EL CAMINO REAL
PALO ALTO, CA 943012302
Phone: (650) 853-2904
Type: Location
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
BWPC
URBANA, IL 618012500
Phone: (217) 383-6941
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220110001655 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 238 | 53 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 177 | 48 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 26 | 26 | $0 |
Insurance plans in this area (ZIP 61821)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | IL | 90792 | Psychiatric diagnostic evaluation with medical services | 19 | 19 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Family Practice, Psychiatry, Family Practice | NY | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| - | FL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | WI | |
| Interventional Radiology, Diagnostic Radiology | DE | |
| P O D I A T R Y | IL |
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