KATHERINE HALLOCK – Dermatology Physician, NPI 1073977146

KATHERINE HALLOCK is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DERMATOLOGY. They hold a License No. MD471467 (PA). The NPI Number for KATHERINE HALLOCK is 1073977146

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE HALLOCK
NPI
1073977146
Phone
(215) 545-5459
Address
1516 LOCUST ST
Enumeration Date
5 April 2016
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7176574045
Graduation Year
2016 (10 years ago)
PAC ID
2264859644
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20200831001876
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

808 DERMATOLOGY in PA

Provider Addresses for KATHERINE HALLOCK

  • 1516 LOCUST ST

    PHILADELPHIA, PA 191024409

    Phone: (215) 545-5459

    Type: Location

  • PO BOX 858

    HERSHEY, PA 170330858

    Phone: (800) 243-1455

    Type: Mailing

  • Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States

    HERSHEY, PA 170332360

    Phone: (800) 243-1455

    Fax: (717) 531-4702

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $778.

Total Amount is formed as General ($778) + Research ($0) + Ownership ($0) = $778.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: ABBVIE INC. ($397).

Total Amount

$778

General + Research + Ownership

Payments

32

Total payment records

General Amount

$778

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

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: 2020-08-31

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200831001876IDermatologyPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes139137$0
17003Destruction of precancer skin growth, 2-14 growths12242$0
11102Biopsy of related skin growth, first growth7574$0
17000Destruction of precancer skin growth, 1 growth6563$0
99214Established patient office or other outpatient visit, 30-39 minutes3634$0
View full utilization report →

Insurance plans in this area (ZIP 19102)

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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: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

Does KATHERINE HALLOCK share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHERINE HALLOCK uses 1073977146.
Is KATHERINE HALLOCK listed as active for patients and plans?
The listing shows KATHERINE HALLOCK as active in the NPI system.
What taxonomy line describes KATHERINE HALLOCK?
For research purposes, treat KATHERINE HALLOCK as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KATHERINE HALLOCK list a practice location?
Patients near Philadelphia, Pennsylvania may find KATHERINE HALLOCK in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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