DR. TOM THEODORE KARNEZIS M.D.
NPI 1023272275
Otolaryngology in Baldwin Park, CA

Active since July 17, 2008PECOS EnrolledAccepts Medicare Assignment
1011 BALDWIN PARK BLVD, HEAD AND NECK SURGERY, BALDWIN PARK, CA 91706(626) 851-6100 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tom Theodore Karnezis M.d. NPPES

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

DR. TOM THEODORE KARNEZIS M.D. (NPI 1023272275) is an individual otolaryngology provider in Baldwin Park, California, licensed in California (NONE) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2008).

NPPES Registry Identity

NPI1023272275
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TOM THEODORE KARNEZISCredential: M.D.
Location Address1011 BALDWIN PARK BLVD, HEAD AND NECK SURGERYBaldwin Park, CA 91706-5806
Mailing Address1011 Baldwin Park Blvd, Head And Neck SurgeryBaldwin Park, CA 91706-5806 · (626) 851-6100
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2008
Enumeration DateJuly 17, 2008
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
NPI 1023272275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in CA · NONE Licensed in SC · TL36720
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1011 BALDWIN PARK BLVD, Baldwin Park, CA 91706

Other Names 1

Other Name (5)Dr. Tom Theodore Karnezis M.d.

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. Tom Theodore Karnezis M.d. 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 ID244458388
PECOS Enrollment IDI20151119002115
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91706 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

Hospitalist
1011 BALDWIN PARK BLVD, 4 EAST HOSPITALIST OFFICE
BALDWIN PARK, CA 91706
Respiratory Therapist, Registered
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Emergency Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Pediatrics
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Family Medicine
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Physical Medicine & Rehabilitation
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706
Physician Assistant
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706

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 Tom Karnezis's NPI number?

The NPI number for Tom Karnezis is 1023272275. It was assigned to this individual provider in the NPPES registry on July 17, 2008. The provider is also known as Dr. Tom Theodore Karnezis M.D..

Where is Tom Karnezis located?

Tom Karnezis practices at 1011 Baldwin Park Blvd Head And Neck Surgery, Baldwin Park, CA 91706. The listed phone number is (626) 851-6100.

What is Tom Karnezis's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Tom Karnezis enrolled in Medicare?

Yes. Tom Karnezis 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.

When was this NPI record last updated?

The NPPES record for Tom Karnezis was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.