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DR. KARL NADOLSKY JR. DO
NPI 1053567743
Internal Medicine - Endocrinology, Diabetes & Metabolism in Holland, MI

Active since August 13, 2008PECOS EnrolledAccepts Medicare Assignment
84.32/100
CMS Quality Rating
650 S WAVERLY RD STE 100, HOLLAND, MI 49423(616) 312-2859(866) 636-2397 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2025, Nov 7, 2024, Jan 4, 2023 and 5 more (8 updates tracked since 2016).

About Dr. Karl Nadolsky Jr. Do NPPES

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

DR. KARL NADOLSKY JR. DO (NPI 1053567743) is an individual endocrinology, diabetes & metabolism provider in Holland, Michigan, licensed in Michigan (5101023031) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053567743
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KARL NADOLSKY JR.Credential: DO
Location Address650 S WAVERLY RD STE 100Holland, MI 49423-9121
Mailing Address650 S Waverly Rd Ste 100Holland, MI 49423-9121 · (616) 312-2859 · Fax (866) 636-2397
Phone(616) 312-2859
Fax(866) 636-2397
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 13, 2008
Last NPPES UpdateMarch 10, 20258 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1053567743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MI · 5101023031
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

650 S WAVERLY RD STE 100, Holland, MI 49423
Open in Google Maps ↗

Other Identifiers 1

Other1053567743Nadolsky Plc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Karl Nadolsky Jr. Do 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 ID244478766
PECOS Enrollment IDI20170608000394
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 4

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.
151 services109 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.
57 services57 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
52 services39 patients
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.
20 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.12
Promoting Interoperability100
Improvement Activities40
Cost69.54

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.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers15 claims180 services$18.20 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers17 claims550 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims38 services$5.87 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier35 claims35 services$277.58 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers253 claims253 services$185.17 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 2

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

OLIVIA NICOLE HAMILTON
Physician Assistant
650 S WAVERLY RD STE 100
HOLLAND, MI 49423
Allegan County (616) 312-2859
NADOLSKY PLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
650 S WAVERLY RD STE 100
HOLLAND, MI 49423
Allegan County (616) 312-2859

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 Nadolsky's NPI number?

The NPI number for Karl Nadolsky is 1053567743. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Karl Nadolsky located?

Karl Nadolsky practices at 650 S Waverly Rd Ste 100, Holland, MI 49423. The listed phone number is (616) 312-2859.

What is Karl Nadolsky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Karl Nadolsky enrolled in Medicare?

Yes. Karl Nadolsky 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 Nadolsky accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Karl Nadolsky 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 Nadolsky affiliated with any hospitals?

According to CMS data, Karl Nadolsky is affiliated with Corewell Health Zeeland Hospital, Spectrum Health, Holland Community Hospital and Bronson South Haven Hospital.

When was this NPI record last updated?

The NPPES record for Karl Nadolsky was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.