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DR. MICHAEL KAROLY M.D.
NPI 1164593935
Obstetrics & Gynecology - Gynecology in Dublin, GA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
101 MEDICAL DR, DUBLIN, GA 31021(478) 275-3782(478) 275-8937 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2024, Aug 30, 2023 (2 updates tracked since 2023).

About Dr. Michael Karoly M.d. NPPES

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

DR. MICHAEL KAROLY M.D. (NPI 1164593935) is an individual gynecology provider in Dublin, Georgia, licensed in Georgia (047466) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and maintains a secondary practice location in Austell.

NPPES Registry Identity

NPI1164593935
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. MICHAEL KAROLYCredential: M.D.
Location Address101 MEDICAL DRDublin, GA 31021-2548
Mailing Address101 Medical DrDublin, GA 31021-2548 · (478) 275-3782 · Fax (478) 275-8937
Phone(478) 275-3782
Fax(478) 275-8937
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1995
Enumeration DateNovember 13, 2006
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1164593935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in GA · 047466
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
101 MEDICAL DR, Dublin, GA 31021
Open in Google Maps ↗

Secondary Practice Location 1

Location 13950 Austell RdAustell, GA 30106-1121 · Phone (770) 793-5913 · Fax (770) 999-2445

Other Identifiers 1

Medicaid00835271AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Michael Karoly 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 ID3577730779
PECOS Enrollment IDI20120111000267
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 6

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 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.
73 services35 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.
62 services59 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
53 services21 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
26 services26 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
26 services26 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR & KAROLY, PC
Obstetrics & Gynecology (Gynecology)
101 MEDICAL DR
DUBLIN, GA 31021
Laurens County (478) 275-3782
MRS. CHEREESE BEDINGFIELD ROWE PA-C
Physician Assistant
101 MEDICAL DR
DUBLIN, GA 31021
Laurens County (478) 275-3782

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 Michael Karoly's NPI number?

The NPI number for Michael Karoly is 1164593935. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Michael Karoly located?

Michael Karoly practices at 101 Medical Dr, Dublin, GA 31021. The listed phone number is (478) 275-3782.

What is Michael Karoly's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Michael Karoly enrolled in Medicare?

Yes. Michael Karoly 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 Michael Karoly accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Michael Karoly 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 Michael Karoly affiliated with any hospitals?

According to CMS data, Michael Karoly is affiliated with Fairview Park Hospital.

When was this NPI record last updated?

The NPPES record for Michael Karoly was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.