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Dr. Kara Jean Knickerbocker , DO

Pediatrics β€’ Wright Patterson Afb, OH

Active NPI 1871027243 Individual Practitioner Female Practitioner
Practice location in NPPES

4881 Sugar Maple Dr
Wright Patterson Afb, OH 454335529

Call 9372576991 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9372576991
Organization at the Same NPPES Address or Phone
United States Air Force Facility NPI 1407842347

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dayton, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Knickerbocker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Knickerbocker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wright Patterson Afb and Ohio

5 active clinicians are listed under Pediatrics with a practice address in Wright Patterson Afb, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 34.013579

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20230707002915

Enrollment State Jurisdiction

OH

PECOS Control ID

3870952898

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1 Childrens Plz

Dayton, OH 454041873

Phone: 9376413000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1497173850
NPI 1215924048

Doctor of Medicine (M.D.)

Dr. Eric Bahorik , MD

Radiology - Diagnostic Radiology

NPI 1568967172

Doctor of Medicine (M.D.)

Dr. Jason Beachler , MD

Orthopaedic Surgery

NPI 1508108010

Doctor of Medicine (M.D.)

Austin Brokamp

Internal Medicine - Cardiovascular Disease

NPI 1184111346
Dr. Henrik Close , MD

Psychiatry & Neurology - Psychiatry

NPI 1841653599

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 17, 2020

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372576991)

πŸ‘€
Provider Name / Credentials Updated December 17, 2020

Recorded as KARA KNICKERBOCKER, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Pediatrics (license number reported to NPPES: OH 34.013579)

βœ…
NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 12, 2017

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413000)

πŸ“
Business Mailing Address (Initial Record) April 12, 2017

Registered at 13704 MIDDLETON PIKE, BOWLING GREEN, OH 434029480

πŸ‘€
Provider Name / Credentials (Initial Record) April 12, 2017

Recorded as KARA DICKEY, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 12, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871027243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2017
Last Update: December 17, 2020
Sole Proprietor: No

Mailing Address

13704 Middleton Pike

Bowling Green, OH 434029480

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.