Active NPI 1669419578 Individual Practitioner Female Practitioner

Katherine Rhoads Gifford , PA-C

Physician Assistant • Hingham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katherine Gifford, PA-C is a certified Physician Assistant practicing in Hingham, MA. With approximately 36 years of clinical experience since completing medical education in 1990, Katherine Gifford delivers high-quality medical care to the local community at 15 COLBY RD.

Katherine Gifford is affiliated with Coastal Medical Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15 Colby Rd

Hingham, MA 020434729

Telephone 7816261844

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hingham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +26.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

14 Specialists

Practicing in Hingham, MA (4746 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gifford (36 Years) 36 Yrs

Hingham Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	116	$205.00	$69.84
99239 Hospital discharge day management, more than 30 minutes	133	130	$296.00	$102.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	118	82	$283.00	$105.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	141	95	$205.00	$71.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	105	77	$283.00	$107.56
99239 Hospital discharge day management, more than 30 minutes	86	86	$296.00	$104.31
99238 Hospital discharge day management, 30 minutes or less	41	41	$200.00	$73.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$553.00	$156.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	139	96	$283.00	$93.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	90	$205.00	$64.53
99239 Hospital discharge day management, more than 30 minutes	88	88	$296.00	$96.80
99217 Hospital observation care on day of discharge	29	29	$200.00	$65.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$553.00	$180.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	12	$190.00	$35.29
99220 Hospital observation care, typically 70 minutes	11	11	$505.00	$162.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	221	145	$283.00	$95.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	137	84	$205.00	$66.38
99239 Hospital discharge day management, more than 30 minutes	100	100	$296.00	$99.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	42	$553.00	$184.93
99220 Hospital observation care, typically 70 minutes	11	11	$505.00	$167.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	260	143	$283.00	$97.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	141	91	$205.00	$67.60
99239 Hospital discharge day management, more than 30 minutes	92	92	$296.00	$101.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	57	$553.00	$189.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	294	181	$283.00	$95.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	96	$205.00	$66.65
99239 Hospital discharge day management, more than 30 minutes	69	69	$296.00	$99.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$553.00	$186.58
99291 Critical care, first 30-74 minutes	18	18	$772.00	$204.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	359	200	$283.00	$95.47
99239 Hospital discharge day management, more than 30 minutes	92	91	$296.00	$99.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	65	$205.00	$66.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$553.00	$186.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	311	180	$251.77	$93.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	140	93	$192.50	$64.72
99239 Hospital discharge day management, more than 30 minutes	107	106	$256.52	$97.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$519.40	$181.69
99217 Hospital observation care on day of discharge	14	14	$168.57	$65.90
99238 Hospital discharge day management, 30 minutes or less	11	11	$190.00	$65.65

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 68

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

9771247 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

604436 (MA)

Commercial Insurance / Payer ID Bmc Healthnet

000000025874 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

S722 (MA)

Commercial Insurance / Payer ID Secure Horizons

604436 (MA)

Commercial Insurance / Payer ID Bcbs Ma

M15296 (MA)

Commercial Insurance / Payer ID Railroad Medicare

H2672 (MA)

Hospital & Practice Group Affiliations

Coastal Medical Associates

55 Fogg Rd, Weymouth, MA 021902432

Phone: 7817924136

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 08, 2014

Registered at 15 COLBY RD, HINGHAM, MA 020434729 (Tel: 7816261844)

📍

Updated Business Mailing Address April 08, 2014

Registered at 15 COLBY RD, HINGHAM, MA 020434729 (Tel: 7816261844)

👤

Provider Name / Credentials Updated April 08, 2014

Recorded as KATHERINE GIFFORD, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2014

Physician Assistant (License #68 in MA)

🟢

Initial NPI Registration & Enumeration May 31, 2006

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: 1669419578

Entity Type:

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

Enumeration Date: May 31, 2006

Last Update: April 08, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 Colby Rd

Hingham, MA 020434729

Phone: 7816261844

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.