ETHAN KARLE
NPI 1114456290
Internal Medicine - Pulmonary Disease in Keene, NH

Q: What is Ethan Karle's NPI number?

The NPI number for Ethan Karle is 1114456290. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Q: What is Ethan Karle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Karle was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment

78.61/100

CMS Quality Rating

580 COURT ST, KEENE, NH 03431(603) 354-5400 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2023, Jun 30, 2020, Jun 12, 2017 (3 updates tracked since 2017).

On this page

About Ethan Karle NPPES

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

ETHAN KARLE (NPI 1114456290) is an individual pulmonary disease provider in Keene, New Hampshire, licensed in New Hampshire (24457) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1114456290

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameETHAN KARLE

Location Address580 COURT STKeene, NH 03431-1718

Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1453

Phone(603) 354-5400

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 12, 2017

Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration

NPPES CertifiedMay 26, 2023

✔ NPI 1114456290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in NH · 24457✔ Licensed in MO · 2020013285

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2017018385 (MO)

580 COURT ST, Keene, NH 03431

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Secondary Practice Location 1

Location 11 Hospital Dr # Dc043.00Columbia, MO 65212-1000 · Phone (573) 882-4464

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Ethan Karle 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 ID6204106719

PECOS Enrollment IDI20230804001671

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 15

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

213 services86 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

167 services167 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

162 services162 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

94 services94 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

88 services88 patients

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.

88 services75 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.

50 services37 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

47 services47 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.

43 services30 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

37 services37 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

35 services20 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.

34 services31 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.

28 services28 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 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.

15 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300003

Location1 Medical Center DriveLebanon, NH 03756 · Grafton County

Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300019

Location580 Court StreetKeene, NH 03431 · Cheshire County

Emergency services Birthing friendly

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301309

Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County

Emergency services Birthing friendly

Brattleboro Memorial Hospital

Acute Care Hospitals · Brattleboro, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470011

Location17 Belmont AveBrattleboro, VT 05301 · Windham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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

$132.09 typical visit price

range $57.75 – $174.26

Typical copayment $33.02 (range $14.43 – $43.56)

Most-billed visit code 99204

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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.

78.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.22

Promoting Interoperability

100

Improvement Activities

Cost

53.49

Referred Medical Equipment & Supplies CMS DME claims 7

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers14 claims14 services$8.20 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers30 claims31 services$97.03 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier17 claims17 services$34.85 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers15 claims900 services$6.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers11 claims660 services$0.80 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers14 claims73,500 services$0.15 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.

CHARLOTTE MARION MAXWELL CNM

Advanced Practice Midwife

580 COURT ST
KEENE, NH 03431

Cheshire County (603) 354-5400

LARRY R MILLER CRNA

Anesthesiology

580 COURT ST, DEPT OF ANESTHESIOLOGY
KEENE, NH 03431

Cheshire County (603) 354-5454

KATRINA M MASURE APRN

Nurse Practitioner (Family)

580 COURT ST
KEENE, NH 03431

Cheshire County (603) 354-5400

SIVA NAGA SRINIVAS YARRARAPU

Internal Medicine

580 COURT ST
KEENE, NH 03431

Cheshire County (603) 354-5400

TARIK M RAMAHI MD

Internal Medicine (Cardiovascular Disease)

580 COURT ST
KEENE, NH 03431

Cheshire County (603) 354-5400

RADIOLOGY ASSOCIATES OF KEENE PC

Radiology (Diagnostic Radiology)

580 COURT ST
KEENE, NH 03431

Cheshire County (603) 354-6580

JASON DAVIS PA-C

Physician Assistant

580 COURT ST
KEENE, NH 03431

Cheshire County (603) 354-5400

DR. JOHN A. CURTIS JR. MD

Emergency Medicine

580 COURT ST, EMERGENCY DEPARTMENT
KEENE, NH 03431

Cheshire County (603) 354-6600

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 Ethan Karle's NPI number?

The NPI number for Ethan Karle is 1114456290. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Ethan Karle located?

Ethan Karle practices at 580 Court St, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Ethan Karle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ethan Karle enrolled in Medicare?

Yes. Ethan Karle 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 Ethan Karle accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Ethan Karle 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 Ethan Karle affiliated with any hospitals?

According to CMS data, Ethan Karle is affiliated with Mary Hitchcock Memorial Hospital, Cheshire Medical Center, Monadnock Community Hospital and Brattleboro Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Karle was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.