Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720209935 Individual Practitioner Female Practitioner

Katherine Koshofer , PA-C

Physician Assistant • Madison, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katherine Koshofer, PA-C is a certified Physician Assistant practicing in Madison, AL. With approximately 20 years of clinical experience since completing medical education in 2006, Katherine Koshofer delivers high-quality medical care to the local community at 400 SUN TEMPLE DR.

Katherine Koshofer is affiliated with Madison Primary Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Sun Temple Dr

Madison, AL 357585924

Telephone 2567745524
Fax 2567745523
Associated Practice Facility / Clinic
🏢 Madison Primary Care Llc Facility NPI 1881993210

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madison, AL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +13.1 yrs vs City Avg
City Avg: 6.9 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Madison, AL (1153 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koshofer (20 Years) 20 Yrs
Madison Specialty Average (6.9 Years) 6.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
48 38 $300.00 $105.10
99213 Established patient office or other outpatient visit, typically 15 minutes
20 17 $225.00 $74.39

Medical Specialties & State Licenses

CMS Verified: 2023-09-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL 1307

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License GA 5017

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
412755469A (GA)

Hospital & Practice Group Affiliations

Madison Primary Care Llc

3776 Sullivan St D, Madison, AL 357582344

Madison Primary Care Llc

3776 Sullivan St, Madison, AL 357582344

Madison Primary Care Llc

400 Sun Temple Dr, Madison, AL 357585924

Phone: 2567745524

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Kelly Baugher , CRNP

Nurse Practitioner - Family

NPI 1083186506

Certified Registered Nurse Practitioner

Anna Lueker

Nurse Practitioner - Primary Care

NPI 1225779218
Fakhra Ahmad-Bodla , NP

Nurse Practitioner - Family

NPI 1285762344

Nurse Practitioner

Sarah Hall

Student in an Organized Health Care Education/Training Program

NPI 1326879933
Leah Cantrelle

Family Medicine

NPI 1336970722
Kristy Williams , CRNP

Nurse Practitioner

NPI 1447798616

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location September 13, 2023

Registered at 400 SUN TEMPLE DR, MADISON, AL 357585924 (Tel: 2567745524)

📍
Updated Practice Location October 17, 2019

Registered at 1041 BALCH RD, MADISON, AL 35758 (Tel: 2563251540)

📍
Updated Business Mailing Address October 17, 2019

Registered at 130 WELLINGTON DR, MADISON, AL 357588153 (Tel: 6623127422)

📍
Updated Business Mailing Address April 26, 2018

Registered at 1041 BALCH RD, STE 300, MADISON, AL 357588822 (Tel: 2563251540)

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 19, 2017

Registered at 130 WELLINGTON DR, MADISON, AL 357588153 (Tel: 6623127422)

📍
Updated Practice Location July 19, 2017

Registered at 525 FOREST PKWY, SUITE 100, FOREST PARK, GA 302972149 (Tel: 6787050100)

👤
Provider Name / Credentials Updated July 19, 2017

Recorded as KATHERINE KOSHOFER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Physician Assistant (License #5017 in GA)

NPI Profile Active September 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2016

Registered at 525 FOREST PKWY, SUITE 100, FOREST PARK, GA 302972149 (Tel: 6787050100)

📍
Updated Business Mailing Address September 28, 2016

Registered at 525 FOREST PKWY, SUITE 100, FOREST PARK, GA 302972149 (Tel: 6787050100)

👤
Provider Name / Credentials Updated September 28, 2016

Recorded as KATIE KOSHOFER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2016

Physician Assistant (License #5017 in GA)

🟢
Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720209935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: September 13, 2023
Sole Proprietor: No

Mailing Address

130 Wellington Dr

Madison, AL 357588153

Phone: 6623127422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.