NPIMap

Individual provider Active NPI

Richard Albert Katseres, M.D.

  • Surgery Physician
  • Altus, OK
National Provider Identifier
1073586624
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
19679 Issued in OK
Practice address
101 S Park LN
Altus, OK 73521-5731
Phone
(580) 379-6180
Fax
(580) 379-6189
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H6331 TX
Surgery Physician 208600000X 19679 OK Primary

Addresses

Primary practice location

101 S Park LN
Altus, OK 73521-5731

Mailing address

101 S Park LN
Altus, OK 73521-5731
Phone (580) 379-6180

Other practice location 1

1001 US Highway 83 N
Childress, TX 79201-2322
Phone (940) 937-9198

Other identifiers 2

IdentifierTypeStateIssuer
1311508-10MedicaidTX
100174220BMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RichardKatseres@direct.jcmh.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100423000069 TX Practitioner - General Surgery 1658408661 Reassigns benefits to 1 organization
Practice locations: Childress, OK
I20100805000218 OK Practitioner - General Surgery 1658408661 Reassigns benefits to 1 organization
Practice locations: Altus, OK

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Memorial Hospital AuthorityGroup PAC ID 1759293178, 46 clinicians

Practice addresses (Care Compare)

1001 US Hwy 83 N
JCMH Surgical Clinic
Childress, TX 79201-2322
Phone (940) 937-9198

1200 E Pecan St
Altus, OK 73521-6141

205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650

Hospital & facility affiliations

  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
  • Childress Regional Medical Center Hospital, Childress, TX, CCN 450369
  • Harmon Memorial Hospital Hospital, Hollis, OK, CCN 371338
  • Memorial Health Hospital, Lawton, OK, CCN 370056
  • Hardeman County Memorial Hospital Hospital, Quanah, TX, CCN 451352

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy133
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux77
Melanoma (skin cancer) excision68
Removal of tissue1-10
Removal of nail tissue1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19679OKMDSurgery Physician
H6331TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority CurrentSince May 1, 2017 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince May 1, 2017 Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Altus Premier Health Clinic P.L.L.C. Past Accepting new patients
Altus Surgical&Urology Associates, PLLC Past Accepting new patients

Locations

304 S Park Ln
Ste B
Altus, OK 73521
Phone (580) 379-6550

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

101 S Park Ln
Ste 300
Altus, OK 73521
Phone (580) 379-5500

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

101 S Park Ln
Altus, OK 73521
Phone (580) 379-6140

Interoperability endpoints

  • Direct secure messaging: richardkatseres@direct.jcmh.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1073586624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215731",
            "telephone_number": "580-379-6180",
            "fax_number": "580-379-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215731",
            "telephone_number": "580-379-6180",
            "fax_number": "580-379-6189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 US Highway 83 N",
            "address_purpose": "LOCATION",
            "city": "Childress",
            "state": "TX",
            "postal_code": "792012322",
            "country_code": "US",
            "telephone_number": "940-937-9198",
            "fax_number": "940-937-9566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSERES",
        "first_name": "RICHARD",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H6331",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "19679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311508-10",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100174220B",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RichardKatseres@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "101 S Park Ln",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735215731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.