MS. KATRINA MARGARET KEITHLEY (PA-C) – Physician Assistant, NPI 1578932620
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MS. KATRINA MARGARET KEITHLEY (PA-C)
9669 KENTON AVE STE 203
SKOKIE, IL 600761227
Phone: (847) 679-6333
Type: Mailing
17000 E 10 Mile Rd
Eastpointe, MI 480211263
Phone: (586) 563-5555
Type: Location
9669 Kenton Ave Ste 203
Skokie, IL 60076
Phone: (847) 679-6333
Type: Location
2650 RIDGE AVE # 1223
EVANSTON, IL 602011700
Phone:
Type: Mailing
9650 GROSS POINT RD STE 1900
SKOKIE, IL 600765006
Phone: (847) 676-1112
Fax: (847) 674-3358
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $650.
Total Amount is formed as General ($650) + Research ($0) + Ownership ($0) = $650.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($312).
Total Amount
$650
General + Research + Ownership
Payments
35
Total payment records
General Amount
$650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $312 |
| GlaxoSmithKline, LLC. | $46 |
| Corcept Therapeutics | $45 |
| Dexcom, Inc. | $36 |
| Amgen Inc. | $32 |
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: 2017-12-15
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 |
|---|---|---|---|---|
| I20171215001432 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,006 | 230 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 181 | 146 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 32 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60076)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 20610 | Aspiration and/or injection of large joint or joint capsule | 16 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.