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DR. KARL W HEMPEL MD
NPI 1053814046
Internal Medicine in Danville, KY

Active since March 15, 2018PECOS EnrolledAccepts Medicare Assignment
79.11/100
CMS Quality Rating
640 E LEXINGTON AVE STE B, DANVILLE, KY 40422(859) 239-4950(859) 239-4959 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2023, May 21, 2020, Mar 15, 2018 (3 updates tracked since 2018).

About Dr. Karl W Hempel Md NPPES

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

DR. KARL W HEMPEL MD (NPI 1053814046) is an individual internal medicine provider in Danville, Kentucky, licensed in Kentucky (57874) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053814046
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KARL W HEMPELCredential: MD
Location Address640 E LEXINGTON AVE STE BDanville, KY 40422-1719
Mailing Address640 E Lexington Ave Ste BDanville, KY 40422-1719 · (859) 239-4950 · Fax (859) 239-4959
Phone(859) 239-4950
Fax(859) 239-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 15, 2018
Last NPPES UpdateSeptember 29, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1053814046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 57874
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
640 E LEXINGTON AVE STE B, Danville, KY 40422
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 W Hempel 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 ID1052714482
PECOS Enrollment IDI20230913004079
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 5

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.
255 services129 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.
54 services54 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.
52 services37 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.
37 services37 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

The James B. Haggin Memorial Hospital

Critical Access Hospitals · Harrodsburg, KY
OwnershipVoluntary non-profit - Other
CMS Certification Number181302
Location464 Linden AvenueHarrodsburg, KY 40330 · Mercer County
Emergency services

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

79.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.52
Promoting Interoperability100
Improvement Activities40
Cost44.23

Other Providers at the Same Location NPPES

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

EPHRAIM MCDOWELL HEALTH RESOURCE, INC
Internal Medicine
640 E LEXINGTON AVE STE B
DANVILLE, KY 40422
Boyle County (859) 239-4950

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 Hempel's NPI number?

The NPI number for Karl Hempel is 1053814046. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Karl Hempel located?

Karl Hempel practices at 640 E Lexington Ave Ste B, Danville, KY 40422. The listed phone number is (859) 239-4950.

What is Karl Hempel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karl Hempel enrolled in Medicare?

Yes. Karl Hempel 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 Hempel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Karl Hempel 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 Hempel affiliated with any hospitals?

According to CMS data, Karl Hempel is affiliated with Ephraim Mcdowell Regional Medical Center, The James B. Haggin Memorial Hospital and Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for Karl Hempel was last updated on September 29, 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.