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DR. MARY K KARKOW DDS
NPI 1003927625
Dentist - Oral and Maxillofacial Pathology in Waukesha, WI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
N14W23833 STONE RIDGE DR, SUITE 240, WAUKESHA, WI 53188(262) 232-8777 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary K Karkow Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY K KARKOW DDS (NPI 1003927625) is an individual oral and maxillofacial pathology provider in Waukesha, Wisconsin, licensed in Wisconsin (455015) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Marquette University School Of Dentistry (1992).

NPPES Registry Identity

NPI1003927625
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameDR. MARY K KARKOWCredential: DDS
Location AddressN14W23833 STONE RIDGE DR, SUITE 240Waukesha, WI 53188-1157
Mailing AddressN14w23833 Stone Ridge Dr, Suite 240Waukesha, WI 53188-1157 · (262) 232-8777
Phone(262) 232-8777
Sole ProprietorYes
Medical School CMSMarquette University School Of DentistryGraduated 1992
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 1, 2016
✔ NPI 1003927625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in WI · 455015
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
N14W23833 STONE RIDGE DR, Waukesha, WI 53188
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Other Identifiers 1

Medicare UPINK400216580WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary K Karkow Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911912126
PECOS Enrollment IDI20060209000127
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
251 services134 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
62 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FEDERICO A. SANCHEZ M.D.
Internal Medicine (Hematology & Oncology)
N14W23833 STONE RIDGE DR, SUITE 200
WAUKESHA, WI 53188
Waukesha County (262) 513-2033
DR. MICHAEL PATRICK FEENEY DDS
Dentist
N14W23833 STONE RIDGE DR
WAUKESHA, WI 53188
Waukesha County (262) 542-8860
TMJ PAIN SOLUTIONS, SC
Dentist (Oral and Maxillofacial Pathology)
N14W23833 STONE RIDGE DR, SUITE 240
WAUKESHA, WI 53188
Waukesha County (262) 232-8777
EVERSIDE HEALTH, LLC
Family Medicine
N14W23833 STONE RIDGE DR, SUITE 450
WAUKESHA, WI 53188
Waukesha County (877) 360-4966
WEST SUBURBAN CARDIOTHORACIC SURGERY SC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
N14W23833 STONE RIDGE DR, SUITE 240
WAUKESHA, WI 53188
Waukesha County (262) 522-6900
DR. BENJAMIN J SCHNEIDER DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
N14W23833 STONE RIDGE DR
WAUKESHA, WI 53188
Waukesha County (262) 524-1072
JIGEESHA MOPIDEVI DDS
Dentist (General Practice)
N14W23833 STONE RIDGE DR
WAUKESHA, WI 53188
Waukesha County (262) 357-2040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Karkow's NPI number?

The NPI number for Mary Karkow is 1003927625. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mary Karkow located?

Mary Karkow practices at N14w23833 Stone Ridge Dr Suite 240, Waukesha, WI 53188. The listed phone number is (262) 232-8777.

What is Mary Karkow's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Mary Karkow enrolled in Medicare?

Yes. Mary Karkow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Karkow accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and UnitedHealthcare list Mary Karkow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Karkow affiliated with any hospitals?

According to CMS data, Mary Karkow is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Mary Karkow was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.