Katmai Oncology Group LLC
A Medicare group practice based in Anchorage, AK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3072400498), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3072400498
- Provider type
- DME Supplier - Physician - Medical Oncology, Part B Supplier - Clinic/Group Practice
- Enrolled in
- AK
- Enrollments
- 2
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040301001234 | AK | Part B Supplier - Clinic/Group Practice | 1821030206 |
| O20180801001204 | AK | DME Supplier - Physician - Medical Oncology | 1821030206 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Katmai Oncology Group, LLC
- Medical Oncology Physician
- Anchorage, AK
- NPI 1821030206
-
Katmai Oncology Group, LLC
- Hematology & Oncology Physician
- Eagle River, AK
- NPI 1063150043
Practice locations
- Anchorage, AK2
- Eagle River, AK1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 89.97 of 100
- Quality
- 78.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (11).
-
Andrea Birch, ANP
- Family Nurse Practitioner
- Anchorage, AK
- NPI 1487111084
-
Melanie Lynn Boles, CRNP
- Adult Health Nurse Practitioner
- Anchorage, AK
- NPI 1255510657
-
Charles Scott Buess, MD
- Hematology & Oncology Physician
- Anchorage, AK
- NPI 1124548284
-
Ellen H. Chirichella, MD
- Hematology & Oncology Physician
- Anchorage, AK
- NPI 1952528499
-
Erica Fossler
- Family Health Clinical Nurse Specialist
- Anchorage, AK
- NPI 1013313923
-
Yukiko Kobayashi Goodell, ANP
- Nurse Practitioner
- Anchorage, AK
- NPI 1598378705
-
Theodore Y Kim, D.O.
- Hematology & Oncology Physician
- Anchorage, AK
- NPI 1952325359
-
Mary Klix, MD
- Hematology & Oncology Physician
- Anchorage, AK
- NPI 1669447595
-
Lorie J. Petty, APRN.CNP
- Acute Care Nurse Practitioner
- Anchorage, AK
- NPI 1952835290
-
Shannon Smiley, M.D.
- Hematology & Oncology Physician
- Anchorage, AK
- NPI 1891715942
-
Natalie Hale Wallace, MD, MPH
- Hematology & Oncology Physician
- Anchorage, AK
- NPI 1386059061
-
Kendal Columbia Webb, M.D.
- Hematology & Oncology Physician
- Anchorage, AK
- NPI 1154615250
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.