DR. KAROL EDWARD ROSNER M.D.
NPI 1053425884
Internal Medicine - Nephrology in Hannibal, MO

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
6500 HOSPITAL DR, HANNIBAL, MO 63401(573) 629-3500(573) 629-3515 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2023, Jan 24, 2023, May 27, 2022 and 2 more (5 updates tracked since 2020).

About Dr. Karol Edward Rosner M.d. NPPES

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

DR. KAROL EDWARD ROSNER M.D. (NPI 1053425884) is an individual nephrology provider in Hannibal, Missouri, licensed in Missouri (2023044569) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1053425884
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. KAROL EDWARD ROSNERCredential: M.D.
Location Address6500 HOSPITAL DRHannibal, MO 63401-6890
Mailing AddressPo Box 1259Hannibal, MO 63401-1259 · (573) 629-3500 · Fax (573) 629-3515
Fax(573) 629-3515
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 18, 2006
Last NPPES UpdateNovember 7, 20235 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1053425884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in MO · 2023044569 Licensed in IL · 036098913
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6500 HOSPITAL DR, Hannibal, MO 63401

Other Identifiers 2

Medicaid036098913IL
Medicaid036-098913ID

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. Karol Edward Rosner 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 ID3476502055
PECOS Enrollment IDI20050120000971, I20231115002938
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.
217 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
205 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
163 services75 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.
93 services78 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
81 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 patients

Hospital Affiliations CMS Care Compare 4

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Pike County Memorial Hospital

Critical Access Hospitals · Louisiana, MO
OwnershipGovernment - Local
CMS Certification Number261333
Location2305 West Georgia StreetLouisiana, MO 63353 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63401 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers60 claims7,050 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers17 claims2,190 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers21 claims2,100 services$0.87 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers43 claims43 services$18.48 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers60 claims61 services$12.20 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.

Nurse Practitioner (Family)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Family Medicine
6500 HOSPITAL DR, FAMILY MEDICINE
HANNIBAL, MO 63401
Internal Medicine (Pulmonary Disease)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Nurse Practitioner (Gerontology)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Psychiatry & Neurology (Psychiatry)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Clinic/Center (Rural Health)
6500 HOSPITAL DR
HANNIBAL, MO 63401
Internal Medicine
6500 HOSPITAL DR
HANNIBAL, MO 63401
Nurse Practitioner (Family)
6500 HOSPITAL DR
HANNIBAL, MO 63401

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 Karol Rosner's NPI number?

The NPI number for Karol Rosner is 1053425884. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Karol Rosner located?

Karol Rosner practices at 6500 Hospital Dr, Hannibal, MO 63401. The listed phone number is (573) 629-3500.

What is Karol Rosner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Karol Rosner enrolled in Medicare?

Yes. Karol Rosner 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.

Is Karol Rosner affiliated with any hospitals?

According to CMS data, Karol Rosner is affiliated with Blessing Hospital, Hannibal Regional Hospital, Barnes Jewish Hospital and Pike County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karol Rosner was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.