SAMUEL DOUGLAS KATERS (PA-C) – Physician Assistant, NPI 1992365407

SAMUEL DOUGLAS KATERS (PA-C) is a healthcare provider. based in Green bay, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for SAMUEL DOUGLAS KATERS (PA-C) is 1992365407

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL DOUGLAS KATERS (PA-C)
NPI
1992365407
Phone
(920) 544-1028
Address
2560 BEL MEADOW DR
Enumeration Date
17 June 2019
Last Update Date
17 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3577891282
Group Practice PAC ID
9638177900
Professional Enrollment ID
I20190820000449
Address ID
NJ070390000LI22XXXRDXX518
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Loading map...

Provider Addresses for SAMUEL DOUGLAS KATERS (PA-C)

  • 2560, Bel Meadow Drive, Bellevue, Brown County, Wisconsin, 54311, United States

    GREEN BAY, WI 543116775

    Phone: (920) 544-1028

    Type: Mailing

  • Newark Beth Israel Medical Center, 201, Lyons Avenue, Newark, Essex County, New Jersey, 07112, United States

    NEWARK, NJ 071122027

    Phone: (800) 843-2384

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-02-07 • Largest payer in this snapshot: Insmed, Inc. ($133).

Total Amount

$150

General + Research + Ownership

Payments

2

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-08-20

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
I20190820000449IPhysician AssistantNJTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,132372$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4830$0
View full utilization report →

Insurance plans in this area (ZIP 54311)

Loading plans...

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: 9638177900View full group profile
NameSpecialtyState
Physician AssistantNY
Physician AssistantPA
Infectious Disease, Internal MedicineNJ
Physician AssistantNJ
Infectious Disease, Internal MedicineNJ
Physician AssistantNJ
Physician AssistantNJ
Internal MedicinePA
-NJ
-NJ

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.

Frequently asked questions

Is there an official ID for SAMUEL DOUGLAS KATERS (PA-C) in U.S. healthcare records?
The official identifier for SAMUEL DOUGLAS KATERS (PA-C) is NPI 1992365407.
Active or inactive — what applies to SAMUEL DOUGLAS KATERS (PA-C)?
You should see SAMUEL DOUGLAS KATERS (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for SAMUEL DOUGLAS KATERS (PA-C)?
At a glance, SAMUEL DOUGLAS KATERS (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMUEL DOUGLAS KATERS (PA-C)?
Travel planning: use Green Bay, Wisconsin as the reference point for SAMUEL DOUGLAS KATERS (PA-C), then confirm.
When was this NPI issued?
Enumeration for SAMUEL DOUGLAS KATERS (PA-C) is noted as June 17, 2019 where the registry provides it.

Similar Providers

ANGELA LAMACK (PA)

Physician Assistant
Park Place, Panama City Beach, Bay County, Florida, United States
NPI: 1285634899
PO BOX 22487
NPI: 1528053691

JAMYE N MCGRAW (PA C)

Physician Assistant
Lime Kiln Road, Starlite, Green Bay, Brown County, Wisconsin, 54302, United States
NPI: 1972598969

MARK A FUSS (PA)

Physician Assistant
575, 4th Street, Kewaunee, Kewaunee County, Wisconsin, 54216, United States
NPI: 1104811793

JESSICA JOY PETERSON (PAC)

Physician Assistant
3120, Riverside Avenue, Marinette, Marinette County, Wisconsin, 54143, United States
NPI: 1851388250
5708, 83rd Place, Country Homes, Kenosha, Kenosha County, Wisconsin, 53142, United States
NPI: 1215926324
715 Superior Rd Ste 120
NPI: 1780675603