KRISTINE ANN KARLSON MD
NPI 1154340073
Family Medicine - Sports Medicine in Lebanon, NH

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
69.4/100
CMS Quality Rating
18 OLD ETNA RD, DHMC - FAMILY MEDICINE, LEBANON, NH 03766(603) 650-4000(603) 650-4190 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine Ann Karlson Md NPPES

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

KRISTINE ANN KARLSON MD (NPI 1154340073) is an individual sports medicine provider in Lebanon, New Hampshire, licensed in New Hampshire (10084) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of University Of Connecticut School Of Medicine (1990).

NPPES Registry Identity

NPI1154340073
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameKRISTINE ANN KARLSONCredential: MD
Location Address18 OLD ETNA RD, DHMC - FAMILY MEDICINELebanon, NH 03766
Mailing Address1 Medical Center DrLebanon, NH 03756-0001
Fax(603) 650-4190
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1990
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 25, 2019
NPI 1154340073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in NH · 10084
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 10084 (NH)
18 OLD ETNA RD, Lebanon, NH 03766

Other Identifiers 2

Medicaid0RE4539VT
Medicaid30010518NH

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

Kristine Ann Karlson 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 ID9234150129
PECOS Enrollment IDI20051207000424
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 8

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 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.
199 services134 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
88 services88 patients
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.
65 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.
20 services16 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.
20 services16 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

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03766 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
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.

69.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.64
Promoting Interoperability100
Improvement Activities40
Cost42.36

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims40 services$6.61 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims1,080 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$22.87 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.

Internal Medicine
18 OLD ETNA RD
LEBANON, NH 03766
Dermatology
18 OLD ETNA RD
LEBANON, NH 03766
Dermatology
18 OLD ETNA RD, DHMC - DERMATOLOGY
LEBANON, NH 03766
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Nurse Practitioner (Family)
18 OLD ETNA RD
LEBANON, NH 03766
Pediatrics
18 OLD ETNA RD
LEBANON, NH 03766
Internal Medicine
18 OLD ETNA RD, DHMC - INTERNAL MEDICINE
LEBANON, NH 03766

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 Kristine Karlson's NPI number?

The NPI number for Kristine Karlson is 1154340073. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kristine Karlson located?

Kristine Karlson practices at 18 Old Etna Rd Dhmc - Family Medicine, Lebanon, NH 03766. The listed phone number is (603) 650-4000.

What is Kristine Karlson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kristine Karlson enrolled in Medicare?

Yes. Kristine Karlson 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 Kristine Karlson 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 Kristine Karlson 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 Kristine Karlson affiliated with any hospitals?

According to CMS data, Kristine Karlson is affiliated with Mary Hitchcock Memorial Hospital, New London Hospital, Alice Peck Day Memorial Hospital and Mt Ascutney Hospital.

When was this NPI record last updated?

The NPPES record for Kristine Karlson was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.