Active NPI 1801870639 Individual Practitioner Female Practitioner

Dr. Kathleen D. Bohnke , MD

Pediatrics • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Bohnke, MD is a registered healthcare professional specializing in Pediatrics in Fort Wayne, IN. Practice services are available at 11123 PARKVIEW PLAZA DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11123 Parkview Plaza Dr
Suite 106

Fort Wayne, IN 468451707

Telephone 2606726550

Fax 2606726559

Associated Practice Facility / Clinic

🏢 Northeast Obstetrics & Gynecology, Llc Facility NPI 1811941024

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Wayne, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.5 Yrs

State Avg: 19.8 Yrs

Regional Practice Density

57 Specialists

Practicing in Fort Wayne, IN (1179 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

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	193	124	$186.53	$120.40

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	341	148	$196.00	$121.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	141	84	$140.00	$67.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	73	$257.00	$126.43
G0008 Administration of influenza virus vaccine	62	60	$29.00	$27.30
90682 Influenza vaccine, quadrivalent derived from recombinant dna	60	57	$98.83	$68.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	20	$196.00	$94.00
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	26	$552.70	$278.81
99225 Subsequent observation care, typically 25 minutes per day	23	17	$146.00	$60.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$269.00	$171.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$308.00	$158.31
G0009 Administration of pneumococcal vaccine	13	13	$29.00	$27.27
99219 Hospital observation care, typically 50 minutes	13	13	$254.00	$117.25
81003 Automated urinalysis test	12	12	$21.00	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$135.00	$86.23

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	397	171	$175.00	$123.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	137	82	$140.00	$68.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	65	$255.00	$129.65
G0008 Administration of influenza virus vaccine	62	61	$29.00	$15.83
90682 Influenza vaccine, quadrivalent derived from recombinant dna	58	57	$98.83	$65.11
99225 Subsequent observation care, typically 25 minutes per day	47	26	$146.00	$68.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$275.00	$156.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$240.00	$173.04
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$120.00	$86.99
81003 Automated urinalysis test	14	11	$21.00	$2.25
99219 Hospital observation care, typically 50 minutes	11	11	$246.00	$127.88

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	275	156	$175.00	$103.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	48	$140.00	$70.37
99225 Subsequent observation care, typically 25 minutes per day	74	44	$146.00	$70.03
G0008 Administration of influenza virus vaccine	67	66	$30.05	$15.84
99213 Established patient office or other outpatient visit, typically 15 minutes	65	52	$120.00	$70.64
90682 Influenza vaccine, quadrivalent derived from recombinant dna	61	61	$99.14	$60.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$255.00	$131.19
99219 Hospital observation care, typically 50 minutes	36	30	$246.00	$132.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$275.00	$157.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$104.00	$103.27
G0009 Administration of pneumococcal vaccine	17	17	$29.00	$15.76
69210 Removal of impacted ear wax	11	11	$146.00	$45.43

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	329	174	$175.00	$102.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	235	128	$140.00	$69.20
99213 Established patient office or other outpatient visit, typically 15 minutes	95	62	$120.00	$70.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	95	95	$255.00	$129.04
G0008 Administration of influenza virus vaccine	73	68	$29.00	$15.55
90682 Influenza vaccine, quadrivalent derived from recombinant dna	72	67	$103.56	$54.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$275.00	$156.10
99225 Subsequent observation care, typically 25 minutes per day	29	17	$146.00	$70.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	23	$95.00	$37.74
G0009 Administration of pneumococcal vaccine	23	23	$29.00	$15.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$240.00	$138.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	14	$37.00	$15.84
81003 Automated urinalysis test	15	13	$21.00	$2.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$104.00	$101.92
99219 Hospital observation care, typically 50 minutes	11	11	$246.00	$130.51

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	291	161	$175.00	$100.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	245	135	$140.00	$68.51
99213 Established patient office or other outpatient visit, typically 15 minutes	114	77	$120.00	$67.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	97	$255.00	$128.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	65	$95.00	$37.21
G0008 Administration of influenza virus vaccine	83	83	$29.29	$19.10
90682 Influenza vaccine, quadrivalent derived from recombinant dna	79	79	$103.56	$52.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$275.00	$150.95
G0009 Administration of pneumococcal vaccine	34	34	$29.12	$19.10
81003 Automated urinalysis test	20	17	$21.00	$2.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$104.00	$101.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$240.00	$137.12
90670 Pneumococcal vaccine for injection into muscle	14	14	$231.00	$199.26

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	317	165	$212.00	$101.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	274	143	$152.00	$68.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	75	$124.00	$37.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	107	105	$311.00	$130.09
99213 Established patient office or other outpatient visit, typically 15 minutes	103	63	$143.00	$68.80
G0008 Administration of influenza virus vaccine	99	96	$30.00	$23.63
90662 Influenza vaccine split virus, preservative free	89	86	$140.45	$47.63
G0009 Administration of pneumococcal vaccine	48	48	$30.00	$23.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$341.00	$154.16
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$100.88	$95.47
81003 Automated urinalysis test	24	23	$21.00	$3.02
90670 Pneumococcal vaccine for injection into muscle	23	23	$214.58	$186.32

Medical Specialties & State Licenses

CMS Verified: 2022-11-15

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01049000A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IN 01049000A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200342340 (IN)

Commercial Insurance / Payer ID Medicare Dmepos

3937240024 (IN)

Commercial Insurance / Payer ID Aetna

7762243

Commercial Insurance / Payer ID United Healthcare

00002092719 02

Commercial Insurance / Payer ID Physicians Health Plan

12182 (IN)

Commercial Insurance / Payer ID Medicare Dmepos

3937240021 (IN)

Commercial Insurance / Payer ID Anthem

000000200308 (IN)

Practice Associates & Co-Workers

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

8 Associated Practitioners

Andrea Lahrman , AGPCNP-BC

Nurse Practitioner

NPI 1275956054

AGPCNPBC

Dr. Steven Mooibroek , MD

Internal Medicine

NPI 1336126895

Doctor of Medicine (M.D.)

Dr. Matthew Barb , MD

Pediatrics

NPI 1366426157

Doctor of Medicine (M.D.)

Dr. Ronald Sarrazine , MD

Internal Medicine

NPI 1538146709

Doctor of Medicine (M.D.)

Kylie Wetzel , FNP-C

Nurse Practitioner

NPI 1578142931

Family Nurse Practitioner (Certified)

Shandi Menzie

Nurse Practitioner

NPI 1750155008

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 09, 2022

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

✅

NPI Profile Active July 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2016

Registered at 11123 PARKVIEW PLAZA DR, SUITE 106, FORT WAYNE, IN 468451707 (Tel: 2606726550)

📍

Updated Business Mailing Address July 21, 2016

Registered at 1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 468251545 (Tel: 2603739700)

👤

Provider Name / Credentials Updated July 21, 2016

Recorded as KATHLEEN BOHNKE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2016

Internal Medicine (License #01049000A in IN)

🟢

Initial NPI Registration & Enumeration December 05, 2005

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: 1801870639

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 05, 2005

Last Update: November 15, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

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.