MRS. KAREN M LUPARELLO D.O.
NPI 1174517734
Ophthalmology in Hillsdale, MI

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
79.52/100
CMS Quality Rating
50 W CARLETON RD, HILLSDALE, MI 49242(517) 439-2020(517) 437-5577 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Karen M Luparello D.o. NPPES

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

MRS. KAREN M LUPARELLO D.O. (NPI 1174517734) is an individual ophthalmology provider in Hillsdale, Michigan, licensed in Michigan (KL011914) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Chicago College Of Osteopathy (1991).

NPPES Registry Identity

NPI1174517734
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMRS. KAREN M LUPARELLOCredential: D.O.
Location Address50 W CARLETON RDHillsdale, MI 49242-1202
Mailing Address2295 Woodland TrlHillsdale, MI 49242-3000 · (517) 437-1967
Fax(517) 437-5577
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 1991
Enumeration DateSeptember 9, 2005
Last NPPES UpdateSeptember 5, 2012
✔ NPI 1174517734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · KL011914
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
50 W CARLETON RD, Hillsdale, MI 49242

Other Identifiers 3

Medicare ID-Type Unspecified0N64420001MI · Group
Medicare UPING20612MI
Medicaid4495541MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Karen M Luparello D.o. 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 ID2668363425
PECOS Enrollment IDI20040322001208
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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Luparello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
50 W CARLETON RD
Hillsdale, MI 49242
  • Reassigned Medicare billing, Michigan enrollment
  • 4 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 49242 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

79.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.84
Improvement Activities40
Cost31.94

Other Providers at the Same Location NPPES 3

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

Ophthalmology
50 W CARLETON RD
HILLSDALE, MI 49242
Ophthalmology
50 W CARLETON RD
HILLSDALE, MI 49242
Optometrist
50 W CARLETON RD
HILLSDALE, MI 49242

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 Luparello's NPI number?

The NPI number for Karen Luparello is 1174517734. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Karen Luparello located?

Karen Luparello practices at 50 W Carleton Rd, Hillsdale, MI 49242. The listed phone number is (517) 439-2020.

What is Karen Luparello's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Karen Luparello enrolled in Medicare?

Yes. Karen Luparello 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.

Which organization bills Medicare for Karen Luparello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Luparello reassigns Medicare benefits to Gossage Eye Institute, Plc (Hillsdale, MI). 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 Luparello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Luparello accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 13 other insurers list Karen Luparello 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 Luparello was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.