DR. KATHERINE L CASSIDY (MD) – Emergency Medicine Physician, NPI 1356336788

DR. KATHERINE L CASSIDY (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01054605A (IN). The NPI Number for DR. KATHERINE L CASSIDY (MD) is 1356336788

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHERINE L CASSIDY (MD)
NPI
1356336788
Phone
(260) 482-4440
Address
3640 NEW VISION DRIVE
Enumeration Date
12 September 2005
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2603478556
Graduation Year
1995 (31 years ago)
PAC ID
0143267401
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20050408000655
Address ID
IN467552927KE512XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,266 EMERGENCY MEDICINE in IN

Provider Addresses for DR. KATHERINE L CASSIDY (MD)

  • SpringHill Suites Fort Wayne North, 4145, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States

    SUITE A

    FORT WAYNE, IN 468451717

    Phone: (260) 482-4440

    Fax: (260) 482-4442

    Type: Mailing

  • 2200 RANDALLIA DR

    FORT WAYNE, IN 468054638

    Phone: (260) 373-4000

    Fax: (260) 482-4442

    Type: Location

  • 608 UNION CHAPEL RD

    FORT WAYNE, IN 468459357

    Phone: (260) 482-4440

    Fax: (260) 482-4442

    Type: Mailing

  • 1316 E 7TH ST

    AUBURN, IN 467062538

    Phone: (260) 373-4000

    Fax: (260) 482-4442

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ABBVIE INC. ($123).

Total Amount

$123

General + Research + Ownership

Payments

5

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$123
View all Open Payments →|Open Payments Risk Radar →

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: 2024-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050408000655IEmergency MedicineINTBD
I20241213000145IEmergency MedicineOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making289270$0
99284Emergency department visit with moderate level of medical decision making9592$0
99291Critical care, first 30-74 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

How do I look up DR. KATHERINE L CASSIDY (MD) by NPI?
Use NPI 1356336788 when you need to reference DR. KATHERINE L CASSIDY (MD) in forms, claims, or directories.
Is DR. KATHERINE L CASSIDY (MD) currently active in the NPI registry?
CMS-published data lists DR. KATHERINE L CASSIDY (MD) as an active registrant.
What field does DR. KATHERINE L CASSIDY (MD) work in?
You can think of DR. KATHERINE L CASSIDY (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KATHERINE L CASSIDY (MD)'s primary listing?
We display Fort Wayne, Indiana because that is what the record indicates for DR. KATHERINE L CASSIDY (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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