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DR. HERBERT M. KARPELMAN JR. D.P.M.
NPI 1093771669
Podiatrist in Cheshire, CT

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
97 MAIN ST, CHESHIRE, CT 06410(203) 272-4324(203) 272-9918 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Herbert M. Karpelman Jr. D.p.m. NPPES

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

DR. HERBERT M. KARPELMAN JR. D.P.M. (NPI 1093771669) is an individual podiatrist in Cheshire, Connecticut, licensed in Connecticut (000096) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (1978).

NPPES Registry Identity

NPI1093771669
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. HERBERT M. KARPELMAN JR.Credential: D.P.M.
Location Address97 MAIN STCheshire, CT 06410-2405
Mailing Address97 Main StCheshire, CT 06410-2405 · (203) 272-4324 · Fax (203) 272-9918
Phone(203) 272-4324
Fax(203) 272-9918
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1978
Enumeration DateApril 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093771669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CT · 000096
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

97 MAIN ST, Cheshire, CT 06410
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Other Identifiers 2

Medicaid4006508CT
Medicare UPINT22485CT

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. Herbert M. Karpelman Jr. D.p.m. 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 ID4587727318
PECOS Enrollment IDI20090106000207
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 6

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 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.
555 services173 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
207 services65 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
178 services57 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
105 services37 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
32 services32 patients
Simple or single drainage of skin abscess 10060
A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06410 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
99%71 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
99%72 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%644 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
91%311 patients4/55-star benchmark: 95%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

HERBERT M. KARPELMAN, JR., D.P.M.
Podiatrist
97 MAIN ST
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (203) 272-4324

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 Herbert Karpelman's NPI number?

The NPI number for Herbert Karpelman is 1093771669. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Herbert Karpelman located?

Herbert Karpelman practices at 97 Main St, Cheshire, CT 06410. The listed phone number is (203) 272-4324.

What is Herbert Karpelman's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Herbert Karpelman enrolled in Medicare?

Yes. Herbert Karpelman 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.

When was this NPI record last updated?

The NPPES record for Herbert Karpelman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.