DR. CAROL K KNIESS D.O.
NPI 1053606954
Emergency Medicine in Sayre, PA
About Dr. Carol K Kniess D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROL K KNIESS D.O. (NPI 1053606954) is an individual emergency medicine provider in Sayre, Pennsylvania, licensed in Pennsylvania (OS017902) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Robert Packer Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Carol K Kniess D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carol Kniess reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sayre, PA 18840
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1134734528 (Pennsylvania)
- 84 clinicians in this Medicare group
Troy, PA 16947
- Reassigned Medicare billing, Pennsylvania enrollment
- 62 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Robert Packer Hospital
Acute Care Hospitals · Sayre, PATroy Community Hospital
Critical Access Hospitals · Troy, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAYRE, PA 18840
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 Carol Kniess's NPI number?
The NPI number for Carol Kniess is 1053606954. It was assigned to this individual provider in the NPPES registry on June 20, 2011.
Where is Carol Kniess located?
Carol Kniess practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (267) 902-2535.
What is Carol Kniess's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Carol Kniess enrolled in Medicare?
Yes. Carol Kniess 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 Carol Kniess's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Kniess reassigns Medicare benefits to 2 organizations: Robert Packer Hospital (Sayre, PA) and Troy Community Hospital Incorporated (Troy, PA). 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 Carol Kniess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Kniess accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carol Kniess 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 Carol Kniess affiliated with any hospitals?
According to CMS data, Carol Kniess is affiliated with Robert Packer Hospital and Troy Community Hospital.
When was this NPI record last updated?
The NPPES record for Carol Kniess was last updated on October 25, 2021. 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.