MACK KARNES M.D.
NPI 1225072721
Radiology - Diagnostic Radiology in St Francis, WI
About Mack Karnes M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACK KARNES M.D. (NPI 1225072721) is an individual diagnostic radiology provider in St Francis, Wisconsin, licensed in Wisconsin (21496) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and maintains a secondary practice location in New Berlin.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Mack Karnes 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.
Areas of Expertise CMS Part B claims 36
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Medical Ctr Manitowoc County
Acute Care Hospitals · Two Rivers, WIBay Area Medical Center
Acute Care Hospitals · Marinette, WIAurora St Lukes Medical Center
Acute Care Hospitals · Milwaukee, WIAurora Medical Center Kenosha
Acute Care Hospitals · Kenosha, WIAurora Medical Ctr Oshkosh
Acute Care Hospitals · Oshkosh, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST FRANCIS, WI 53235
SAINT FRANCIS, WI 53235
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 Mack Karnes's NPI number?
The NPI number for Mack Karnes is 1225072721. It was assigned to this individual provider in the NPPES registry on June 15, 2006.
Where is Mack Karnes located?
Mack Karnes practices at 2000 E Layton Ave, St Francis, WI 53235. The listed phone number is (414) 744-6589.
What is Mack Karnes's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Mack Karnes enrolled in Medicare?
Yes. Mack Karnes 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 Mack Karnes accept?
Health plans from CareSource (Common Ground Healthcare) list Mack Karnes 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 Mack Karnes affiliated with any hospitals?
According to CMS data, Mack Karnes is affiliated with Aurora Medical Ctr Manitowoc County, Bay Area Medical Center, Aurora St Lukes Medical Center, Aurora Medical Center Kenosha and Aurora Medical Ctr Oshkosh.
When was this NPI record last updated?
The NPPES record for Mack Karnes was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.