KARL A LOZANNE MD
NPI 1013114735
Neurological Surgery in Columbia, SC

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
51.27/100
CMS Quality Rating
1910 BLANDING ST, COLUMBIA, SC 29201(803) 256-4107 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karl A Lozanne Md NPPES

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

KARL A LOZANNE MD (NPI 1013114735) is an individual neurological surgery provider in Columbia, South Carolina, licensed in South Carolina (32053) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Yale University School Of Medicine (2002).

NPPES Registry Identity

NPI1013114735
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameKARL A LOZANNECredential: MD
Location Address1910 BLANDING STColumbia, SC 29201-3520
Mailing Address1910 Blanding StColumbia, SC 29201-3520 · (803) 256-4107
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2002
Enumeration DateJune 27, 2007
Last NPPES UpdateJanuary 7, 2016
NPI 1013114735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in SC · 32053
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1910 BLANDING ST, Columbia, SC 29201

Accepted 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

Karl A Lozanne Md 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 ID1759435746
PECOS Enrollment IDI20090810000426
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 21

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
206 services171 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services131 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
128 services125 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
77 services77 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
55 services50 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29201 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

51.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality42.67
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
34%439 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
0%753 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
0%50 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%23 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%23 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,652 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%463 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%1,029 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,244 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 23% · 769 patients
Patients screened: 25% · 769 patients
13%23 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%63 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 488 patients
Patients totalRate: 24% · 489 patients
23%489 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers13 claims13 services$35.24 avg. paid by Medicare
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier14 claims14 services$3,748.18 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
4 suppliers15 claims15 services$976.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
1910 BLANDING ST
COLUMBIA, SC 29201
Orthopaedic Surgery
1910 BLANDING ST
COLUMBIA, SC 29201
Physician Assistant (Surgical)
1910 BLANDING ST
COLUMBIA, SC 29201
Orthopaedic Surgery (Sports Medicine)
1910 BLANDING ST
COLUMBIA, SC 29201
Registered Nurse (Orthopedic)
1910 BLANDING ST
COLUMBIA, SC 29201
Durable Medical Equipment & Medical Supplies
1910 BLANDING ST
COLUMBIA, SC 29201
Occupational Therapist
1910 BLANDING ST
COLUMBIA, SC 29201
Neurological Surgery
1910 BLANDING ST
COLUMBIA, SC 29201

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 Karl Lozanne's NPI number?

The NPI number for Karl Lozanne is 1013114735. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Karl Lozanne located?

Karl Lozanne practices at 1910 Blanding St, Columbia, SC 29201. The listed phone number is (803) 256-4107.

What is Karl Lozanne's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Karl Lozanne enrolled in Medicare?

Yes. Karl Lozanne 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 Karl Lozanne accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Karl Lozanne 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 Karl Lozanne affiliated with any hospitals?

According to CMS data, Karl Lozanne is affiliated with Musc Medical Center, Prisma Health Richland Hospital, Musc Health Columbia Medical Center Downtown, Kershawhealth and Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Karl Lozanne was last updated on January 7, 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.