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KARISSA THAL MD
NPI 1033679691
Family Medicine in Bellefonte, PA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
141 MEDICAL PARK LN, BELLEFONTE, PA 16823(814) 355-7322(814) 355-9604 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2019, Mar 20, 2019 (2 updates tracked since 2019).

About Karissa Thal Md NPPES

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

KARISSA THAL MD (NPI 1033679691) is an individual family medicine provider in Bellefonte, Pennsylvania, licensed in Pennsylvania (MD477151) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033679691
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARISSA THALCredential: MD
Location Address141 MEDICAL PARK LNBellefonte, PA 16823-9112
Mailing Address141 Medical Park LnBellefonte, PA 16823-9112 · (814) 355-7322 · Fax (814) 355-9604
Phone(814) 355-7322
Fax(814) 355-9604
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateJune 27, 20222 updates tracked since enumeration
NPPES CertifiedJune 27, 2022
✔ NPI 1033679691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD477151
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
141 MEDICAL PARK LN, Bellefonte, PA 16823
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1500 University DrHershey, PA 17033-2360 · Phone (717) 531-8186
Location 21850 E Park Ave Ste 207State College, PA 16803-6706 · Phone (814) 689-6789

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Karissa Thal 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 ID1052648771
PECOS Enrollment IDI20220705003107
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 7

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 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.
113 services82 patients
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.
67 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16823 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Other Providers at the Same Location NPPES 16

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

TARA J. SHAPICH PA-C
Physician Assistant (Medical)
141 MEDICAL PARK LN
BELLEFONTE, PA 16823
Centre County (814) 355-7322
WILLIAM PRICE WAGNER DO
Family Medicine
141 MEDICAL PARK LN
BELLEFONTE, PA 16823
Centre County (814) 355-7322
THERESA A. YEBERNETSKY PA-C
Physician Assistant (Medical)
141 MEDICAL PARK LN
BELLEFONTE, PA 16823
Centre County (814) 355-7322
DR. CYNTHIA D ALEXANDER MD
Internal Medicine
141 MEDICAL PARK LN
BELLEFONTE, PA 16823
Centre County (814) 355-7322
MOUNT NITTANY MEDICAL CENTER
Clinical Medical Laboratory
141 MEDICAL PARK LN
BELLEFONTE, PA 16823
Centre County (814) 355-7322
CHRISTOPHER E. HESTER M.D.
Internal Medicine
141 MEDICAL PARK LN
BELLEFONTE, PA 16823
Centre County (814) 355-7322
REBECCA L JORDAN CRNP
Nurse Practitioner (Family)
141 MEDICAL PARK LN
BELLEFONTE, PA 16823
Centre County (814) 355-7322
BETSEY A EGGLER MD
Internal Medicine
141 MEDICAL PARK LN
BELLEFONTE, PA 16823
Centre County (814) 355-7322

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 Karissa Thal's NPI number?

The NPI number for Karissa Thal is 1033679691. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Karissa Thal located?

Karissa Thal practices at 141 Medical Park Ln, Bellefonte, PA 16823. The listed phone number is (814) 355-7322.

What is Karissa Thal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karissa Thal enrolled in Medicare?

Yes. Karissa Thal 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 Karissa Thal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karissa Thal 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 Karissa Thal affiliated with any hospitals?

According to CMS data, Karissa Thal is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Karissa Thal was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.