DR. KAREN M ARKIN M.D.
NPI 1164460622
Psychiatry & Neurology - Neurology in Dayton, OH

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
30 E APPLE ST STE 5254A, DAYTON, OH 45409(937) 208-4200(937) 208-2678 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2019, Nov 15, 2017 (2 updates tracked since 2017).

About Dr. Karen M Arkin M.d. NPPES

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

DR. KAREN M ARKIN M.D. (NPI 1164460622) is an individual neurology provider in Dayton, Ohio, licensed in Ohio (35.135921) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1164460622
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. KAREN M ARKINCredential: M.D.
Location Address30 E APPLE ST STE 5254ADayton, OH 45409
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Fax(937) 208-2678
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1988
Enumeration DateJune 4, 2006
Last NPPES UpdateJuly 3, 20192 updates tracked since enumeration
NPI 1164460622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in OH · 35.135921 Licensed in KS · 04-27833 Licensed in MO · 103497
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

30 E APPLE ST STE 5254A, Dayton, OH 45409

Secondary Practice Location 1

Location 14400 Broadway, Suite 520Kansas City, MO 64111-3342 · Phone (816) 531-4080 · Fax (816) 531-0281

Other Identifiers 1

Medicaid0340395OH

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

Dr. Karen M Arkin M.d. 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 ID2860559218
PECOS Enrollment IDI20190806004301
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.

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.
93 services69 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.
60 services45 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.
57 services56 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.
42 services42 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.
42 services31 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

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.

Psychiatry & Neurology (Neurology)
30 E APPLE ST STE 5254A
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 5254A
DAYTON, OH 45409
Nurse Practitioner (Family)
30 E APPLE ST STE 5254A
DAYTON, OH 45409
Registered Nurse
30 E APPLE ST STE 5254A
DAYTON, OH 45409
Psychiatry & Neurology (Neurology)
30 E APPLE ST STE 5254A
DAYTON, OH 45409
Psychiatry & Neurology (Neurology)
30 E APPLE ST STE 5254A
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 5254A
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 5254A
DAYTON, OH 45409

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 Arkin's NPI number?

The NPI number for Karen Arkin is 1164460622. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Karen Arkin located?

Karen Arkin practices at 30 E Apple St Ste 5254A, Dayton, OH 45409. The listed phone number is (937) 208-4200.

What is Karen Arkin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Karen Arkin enrolled in Medicare?

Yes. Karen Arkin 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 Karen Arkin accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Karen Arkin 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 Karen Arkin affiliated with any hospitals?

According to CMS data, Karen Arkin is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Karen Arkin was last updated on July 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.