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KARNA GOCKE M.D.
NPI 1174556286
Family Medicine in Prosper, TX

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
1970 W. UNIVERSITY DRIVE, PROSPER, TX 75078(469) 329-7860(972) 347-6224 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2017, Aug 15, 2016, Jun 22, 2016 and 1 more (4 updates tracked since 2016).

About Karna Gocke M.d. NPPES

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

KARNA GOCKE M.D. (NPI 1174556286) is an individual family medicine provider in Prosper, Texas, licensed in Texas (Q9359) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Albany Medical College Of Union University (1998).

NPPES Registry Identity

NPI1174556286
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARNA GOCKECredential: M.D.
Location Address1970 W. UNIVERSITY DRIVEProsper, TX 75078
Mailing Address1970 W. University DriveProsper, TX 75078 · (469) 329-7860 · Fax (972) 347-6224
Phone(469) 329-7860
Fax(972) 347-6224
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1998
Enumeration DateJuly 9, 2006
Last NPPES UpdateApril 28, 20174 updates tracked since enumeration
✔ NPI 1174556286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · Q9359✔ Licensed in CA · A69631
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1970 W. UNIVERSITY DRIVE, Prosper, TX 75078
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Other Identifiers 2

Medicare PINCB249733CA
Medicare PIN564421YKP5TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Karna Gocke 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 ID2567535446
PECOS Enrollment IDI20170405002102
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 Reassignments

3

Medicare enrollment records show Karna Gocke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Physicians Group
24 mi
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1053767897 (214) 860-6300
First Choice Physician Partners
1,122 mi
Internal Medicine
47647 CALEO BAY DR, STE 101
La Quinta, CA 92253
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1841621323 (760) 668-0386
Okerblom Voegele And Hole MD A Professional Corporation
1,354 mi
Family Medicine
1145 E CLARK AVE, #F
Santa Maria, CA 93455
  • Reassigned Medicare billing, California enrollment
  • 13 clinicians in this Medicare group
NPI 1477644797 (805) 934-5140

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
165 services78 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.
56 services32 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.
25 services22 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
23 services21 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75078 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Karna Gocke's NPI number?

The NPI number for Karna Gocke is 1174556286. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Karna Gocke located?

Karna Gocke practices at 1970 W. University Drive, Prosper, TX 75078. The listed phone number is (469) 329-7860.

What is Karna Gocke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karna Gocke enrolled in Medicare?

Yes. Karna Gocke 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 organizations bill Medicare for Karna Gocke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karna Gocke reassigns Medicare benefits to 3 organizations: Texas Health Physicians Group (Dallas, TX), First Choice Physician Partners (La Quinta, CA) and Okerblom Voegele And Hole MD A Professional Corporation (Santa Maria, CA). Each 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 Karna Gocke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karna Gocke accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Karna Gocke 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 Karna Gocke affiliated with any hospitals?

According to CMS data, Karna Gocke is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Karna Gocke was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.