KARL H KAUFMANN MD
NPI 1154339539
Emergency Medicine - Emergency Medical Services in Renton, WA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
86.27/100
CMS Quality Rating
400 S 43RD ST, ER DEPT, RENTON, WA 98055(425) 228-3450 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Karl H Kaufmann Md NPPES

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

KARL H KAUFMANN MD (NPI 1154339539) is an individual emergency medical services provider in Renton, Washington, licensed in Washington (MD00038535) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1996).

NPPES Registry Identity

NPI1154339539
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameKARL H KAUFMANNCredential: MD
Location Address400 S 43RD ST, ER DEPTRenton, WA 98055-5714
Mailing AddressPo Box 24584Seattle, WA 98124-0584 · (425) 656-4255 · Fax (425) 656-4003
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1996
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 12, 2010
NPI 1154339539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in WA · MD00038535
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
400 S 43RD ST, Renton, WA 98055

Other Identifiers 5

Other3646KAWA · Regence Bs Prov#
Medicare PINGAB16231WA
Medicaid8255440WA
Other0185272WA · Labor& Industries Prov#
Medicare UPINH20214WA

Accepted 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

Karl H Kaufmann 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 ID9830213263
PECOS Enrollment IDI20100907000935
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
338 services330 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
189 services187 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
106 services104 patients
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.
56 services55 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

86.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.36
Improvement Activities40

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.

Speech-Language Pathologist
400 S 43RD ST
RENTON, WA 98055
Physical Therapist
400 S 43RD ST
RENTON, WA 98055
Internal Medicine
400 S 43RD ST, RM 3H-1-053
RENTON, WA 98055
Hospitalist
400 S 43RD ST
RENTON, WA 98055
Student in an Organized Health Care Education/Training Program
400 S 43RD ST
RENTON, WA 98055
Physical Therapist
400 S 43RD ST
RENTON, WA 98055
Pharmacist
400 S 43RD ST
RENTON, WA 98055
Hospitalist
400 S 43RD ST
RENTON, WA 98055

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 Kaufmann's NPI number?

The NPI number for Karl Kaufmann is 1154339539. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Karl Kaufmann located?

Karl Kaufmann practices at 400 S 43rd St ER Dept, Renton, WA 98055. The listed phone number is (425) 228-3450.

What is Karl Kaufmann's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Karl Kaufmann enrolled in Medicare?

Yes. Karl Kaufmann 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 Kaufmann accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Karl Kaufmann 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 Kaufmann affiliated with any hospitals?

According to CMS data, Karl Kaufmann is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Karl Kaufmann was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.