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DR. KAREN ANN EPHLIN MD
NPI 1114992344
Pediatrics in Wilkes Barre, PA

Active since February 21, 2006PECOS Enrolled
166 HANOVER ST, WILKES BARRE, PA 18702(570) 808-6672(570) 808-6673 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2020, Mar 21, 2016 (2 updates tracked since 2016).

About Dr. Karen Ann Ephlin Md NPPES

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

DR. KAREN ANN EPHLIN MD (NPI 1114992344) is an individual pediatrics provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD426154) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114992344
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KAREN ANN EPHLINCredential: MD
Location Address166 HANOVER STWilkes Barre, PA 18702-3549
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Phone(570) 808-6672
Fax(570) 808-6673
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateAugust 10, 20202 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
✔ NPI 1114992344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD426154✔ Licensed in NY · 236228-1
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
166 HANOVER ST, Wilkes Barre, PA 18702
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Other Identifiers 3

Medicaid02682057NY
OtherGU039851PA · Medicare Group
Other198834PA · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen Ann Ephlin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

JASON RAYMOND WOLOSKI M.D.
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-8780
GINA TALLO
Student in an Organized Health Care Education/Training Program
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-5674
GEISINGER CLINIC
Internal Medicine
166 HANOVER ST, STE 203
WILKES BARRE, PA 18702
Luzerne County (570) 825-8780
GEISINGER CLINIC
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-8780
GEISINGER CLINIC
Family Medicine
166 HANOVER ST
WILKES BARRE, PA 18702
Luzerne County (570) 808-6672
DR. MICHAEL D RUPP M.D., F.A.C.C.
Internal Medicine (Cardiovascular Disease)
166 HANOVER ST, SUITE 305
WILKES BARRE, PA 18702
Luzerne County (570) 826-6875
VINCENT A. DRAPIEWSKI, MD
Internal Medicine (Geriatric Medicine)
166 HANOVER ST, SUITE 102
WILKES BARRE, PA 18702
Luzerne County (570) 822-5191
DR. VINCENT A DRAPIEWSKI MD
Family Medicine (Geriatric Medicine)
166 HANOVER ST, SUITE 102
WILKES BARRE, PA 18702
Luzerne County (570) 822-5191

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 Karen Ephlin's NPI number?

The NPI number for Karen Ephlin is 1114992344. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Karen Ephlin located?

Karen Ephlin practices at 166 Hanover St, Wilkes Barre, PA 18702. The listed phone number is (570) 808-6672.

What is Karen Ephlin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Ephlin enrolled in Medicare?

Yes. Karen Ephlin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karen Ephlin was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.