DR. KAREN ANN EPHLIN MD
NPI 1114992344
Pediatrics in Wilkes Barre, PA
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Karen Ann Ephlin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Karen Ephlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilkes Barre, PA 18702
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 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.
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.
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.
WILKES BARRE, PA 18702
WILKES BARRE, PA 18702
WILKES BARRE, PA 18702
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.
Which organization bills Medicare for Karen Ephlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Ephlin reassigns Medicare benefits to Geisinger Clinic (Wilkes Barre, PA). The 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 Karen Ephlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Ephlin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen Ephlin 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.
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.
# Dr. Karen Ann Ephlin, MD · NPI 1114992344
Pediatrics physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 21, 2006.
## Identity
- **NPI:** 1114992344 (Entity type: Individual)
- **Enumerated:** February 21, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD426154 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 166 HANOVER ST, Wilkes Barre, PA 18702-3549
- **Phone:** (570) 808-6672 · **Fax:** (570) 808-6673
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Geisinger Clinic (NPI 1073638201, Wilkes Barre, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2020
- **Other identifiers:** Medicaid 02682057 (NY); Other GU039851 (PA); Other 198834 (PA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114992344) · Data from the CMS NPPES public registry.