KARL E. MAGSAMEN M.D.
NPI 1033202536
Radiology - Vascular & Interventional Radiology in Rockford, IL

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
86.72/100
CMS Quality Rating
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 971-7000 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2025, Aug 19, 2024, Oct 19, 2023 and 1 more (4 updates tracked since 2017).

About Karl E. Magsamen M.d. NPPES

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

KARL E. MAGSAMEN M.D. (NPI 1033202536) is an individual vascular & interventional radiology provider in Rockford, Illinois, licensed in Texas (U5598) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Brookdale Hospital Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1033202536
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameKARL E. MAGSAMENCredential: M.D.
Location Address8201 E RIVERSIDE BLVDRockford, IL 61114-2300
Mailing Address2008 Caribou DrFort Collins, CO 80525-4325 · (970) 484-4757 · Fax (970) 484-4759
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1998
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 14, 20254 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1033202536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses✔ Licensed in TX · U5598✔ Licensed in WY · 10974A✔ Licensed in CO · DR.0044137✔ Licensed in NE · 30092
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License C1-0026240 (DE)
8201 E RIVERSIDE BLVD, Rockford, IL 61114

Secondary Practice Locations 4

Location 1875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500
Location 24755 OGLETOWN STANTON ROADNEWARK, DE 19718-2200 · Phone (302) 733-1840 · Fax (302) 733-1633
Location 31024 S LeMay AveFort Collins, CO 80524-3929 · Phone (970) 495-7000 · Fax (970) 495-7639
Location 4901 Grant StHarvard, IL 60033-1821 · Phone (815) 943-5431

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karl E. Magsamen 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 ID8921084187
PECOS Enrollment IDI20060502000104, I20230830000412, I20230919000199, I20230926001041, I20231025002850, I20240228003531, I20240729004028, I20240827000743
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.

Medicare Billing Reassignments

33

Medicare enrollment records show Karl Magsamen reassigns Medicare billing to 33 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois enrollment
  • 671 clinicians in this Medicare group
Diagnostic Radiology
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Colorado enrollment
  • 5 clinicians in this Medicare group
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Colorado enrollment
  • 5 clinicians in this Medicare group
Family Medicine
1044 N FRANCISCO AVE
Chicago, IL 60622
  • Reassigned Medicare billing, Colorado and Illinois enrollments
  • 5 clinicians in this Medicare group
Critical Access
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 97 clinicians in this Medicare group
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
Clinic/Center
1300 FRANKLIN AVE STE 100
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 71 clinicians in this Medicare group
Rural Health
112 W MADISON AVE
Chrisman, IL 61924
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1679502322 (Illinois)
  • 216 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 24

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
216 services210 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
215 services212 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
109 services108 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
107 services106 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
98 services97 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
83 services81 patients

Hospital Affiliations CMS Care Compare 3

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

Brookdale Hospital Medical Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330233
Location1 Brookdale PlazaBrooklyn, NY 11212 · Kings County
Emergency services Birthing friendly

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

86.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.48
Improvement Activities40
Cost64.04

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.

Neurological Surgery
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Radiology (Neuroradiology)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Internal Medicine
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Occupational Therapist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Internal Medicine (Hospice and Palliative Medicine)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Pharmacist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Nurse Practitioner
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114

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 Magsamen's NPI number?

The NPI number for Karl Magsamen is 1033202536. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Karl Magsamen located?

Karl Magsamen practices at 8201 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 971-7000.

What is Karl Magsamen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Karl Magsamen enrolled in Medicare?

Yes. Karl Magsamen 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.

Which organizations bill Medicare for Karl Magsamen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Magsamen reassigns Medicare benefits to 33 organizations: Rockford Health Physicians (Rockford, IL), Mercy Harvard Hospital Inc (Harvard, IL), Mercy Health System Corporation (Janesville, WI), Camelot Radiology Associates Ltd (Freeport, IL), Freeport Memorial Hospital (Freeport, IL) and 28 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karl Magsamen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Magsamen accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Texas and 5 other insurers list Karl Magsamen 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 Magsamen affiliated with any hospitals?

According to CMS data, Karl Magsamen is affiliated with Brookdale Hospital Medical Center, Lima Memorial Health System and Grays Harbor Community Hospital.

When was this NPI record last updated?

The NPPES record for Karl Magsamen was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.