KAREN L HOTCHKIN MD
NPI 1215996731
Internal Medicine in Phillipsburg, NJ

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
207 STRYKERS RD, PHILLIPSBURG, NJ 08865(908) 859-6568(908) 859-6697 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Karen L Hotchkin Md NPPES

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

KAREN L HOTCHKIN MD (NPI 1215996731) is an individual internal medicine provider in Phillipsburg, New Jersey, licensed in New Jersey (MA69477) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1994).

NPPES Registry Identity

NPI1215996731
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN L HOTCHKINCredential: MD
Location Address207 STRYKERS RDPhillipsburg, NJ 08865-5401
Mailing AddressPo Box 27957Salt Lake City, UT 84127-0957 · (908) 835-1910 · Fax (908) 835-1924
Fax(908) 859-6697
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1994
Enumeration DateMarch 22, 2006
Last NPPES UpdateSeptember 14, 2015
NPI 1215996731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · MA69477
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

207 STRYKERS RD, Phillipsburg, NJ 08865

Other Identifiers 4

Medicaid8085307NJ
Medicare UPING46390
Other110226925NJ · Railroad Medicare
Medicare PIN031451NJ

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

Karen L Hotchkin 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 ID1153457619
PECOS Enrollment IDI20100414000045
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
462 services264 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
367 services224 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.
266 services266 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
127 services125 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
126 services124 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
71 services71 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

St Luke's Hospital - Anderson Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390326
Location1872 St Luke's BlvdEaston, PA 18045 · Northampton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
11 suppliers58 claims139 services$5.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims18 services$1.03 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 3

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

Internal Medicine
207 STRYKERS RD
PHILLIPSBURG, NJ 08865
Family Medicine
207 STRYKERS RD
PHILLIPSBURG, NJ 08865
Family Medicine
207 STRYKERS RD
PHILLIPSBURG, NJ 08865

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215996731, enumerated as an "individual" on March 22, 2006.

The provider is located at 207 STRYKERS RD PHILLIPSBURG, NJ 08865 and the phone number is (908) 859-6568.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.

Karen Hotchkin is affiliated with: ST LUKE'S WARREN HOSPITAL, ST LUKE'S HOSPITAL BETHLEHEM, ST LUKE'S HOSPITAL - EASTON CAMPUS and ST LUKE'S HOSPITAL - ANDERSON CAMPUS.