Katherine Huber Durnen, M.D.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Bowling Green, KY
NPI 1386986040 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1386986040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 52572 (KY)
- Practice address
- 1048 Ashley St Ste 303
Bowling Green, KY 42103-2451 - Phone
- (707) 968-9602
- Fax
- (270) 842-5683
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Louisville School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Health Corporation, Inc.
Practice addresses (Care Compare)
1048 Ashley St
Suite 303
Bowling Green, KY 42103-2451
Phone (270) 796-8960
Hospital & facility affiliations
- The Medical Center (Bowling Green)
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190822000195 | KY | Practitioner - Plastic and Reconstructive Surgery | 3173851698 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52572 | KY | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Plastic & Reconstructive Surgery PSC | Plastic and Reconstructive Surgery | Current |
Accepting new patients |
| Commonwealth Health Corporation, Inc | Current |
Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Plastic and Reconstructive Surgery | Current |
Accepting new patients |
| Commonwealth Health Corporation | Past | Accepting new patients |
Locations
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
1048 Ashley St
Ste 303
Bowling Green, KY 42103
Phone (270) 796-8960
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 52572 | KY | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 52572 | KY | Yes |
Addresses
Primary practice location
1048 Ashley St Ste 303
Bowling Green, KY 42103-2451
Mailing address
1048 Ashley St
Ste 303
Bowling Green, KY 42103-2451
Phone (270) 796-8960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100618300 | Medicaid | KY |
Other providers in Bowling Green, KY
- Dungarvin Kentucky, LLC - Bowling Green
- Ashley Dunn
- Destiny Dunn
- Joshua Quinn Dunn
- Meca Ann Dunn
- Robert Burlien Duvall
- Georgia Lea Dye
- Malea Dye
- Madison Pardue Dyer
- Oceanna Dykes
All providers in Bowling Green, KY · Plastic and Reconstructive Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.