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ROWAN KARAMAN M.D.
NPI 1225341852
Internal Medicine - Endocrinology, Diabetes & Metabolism in Joplin, MO

Active since July 25, 2010PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1532 W 32ND ST STE 402, JOPLIN, MO 64804(417) 347-8740 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2024, Aug 23, 2024, Nov 1, 2023 and 6 more (9 updates tracked since 2016).

About Rowan Karaman M.d. NPPES

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

ROWAN KARAMAN M.D. (NPI 1225341852) is an individual endocrinology, diabetes & metabolism provider in Joplin, Missouri, licensed in Missouri (2024030922) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Labette Health, and is a graduate of Ohio State University College Of Medicine (2010).

NPPES Registry Identity

NPI1225341852
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameROWAN KARAMANCredential: M.D.
Location Address1532 W 32ND ST STE 402Joplin, MO 64804-1639
Mailing Address1532 W 32nd StJoplin, MO 64804-1607
Phone(417) 347-8740
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2010
Enumeration DateJuly 25, 2010
Last NPPES UpdateNovember 22, 20249 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1225341852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in MO · 2024030922✔ Licensed in WI · 65442
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1532 W 32ND ST STE 402, Joplin, MO 64804
Open in Google Maps ↗

Other Identifiers 2

Medicaid201166140IN
Other000000834341IN · Anthem Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Rowan Karaman 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 ID1052553740
PECOS Enrollment IDI20240903003847
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 5

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.
222 services189 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
52 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
29 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Labette Health

Acute Care Hospitals · Parsons, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170120
Location1902 South Us Hwy 59Parsons, KS 67357 · Labette County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Cox Barton County Hospital

Critical Access Hospitals · Lamar, MO
OwnershipGovernment - Local
CMS Certification Number261325
Location29 NW 1st LaneLamar, MO 64759 · Barton County
Emergency services

Freeman Neosho Hospital

Critical Access Hospitals · Neosho, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261331
Location113 West Hickory StreetNeosho, MO 64850 · Newton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
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
9 suppliers15 claims63 services$5.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers100 claims100 services$182.77 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

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

VICTORIA ANNE PERKINS DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1532 W 32ND ST STE 402
JOPLIN, MO 64804
Newton County (417) 347-8740

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 Rowan Karaman's NPI number?

The NPI number for Rowan Karaman is 1225341852. It was assigned to this individual provider in the NPPES registry on July 25, 2010.

Where is Rowan Karaman located?

Rowan Karaman practices at 1532 W 32nd St Ste 402, Joplin, MO 64804. The listed phone number is (417) 347-8740.

What is Rowan Karaman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Rowan Karaman enrolled in Medicare?

Yes. Rowan Karaman 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 Rowan Karaman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Rowan Karaman 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 Rowan Karaman affiliated with any hospitals?

According to CMS data, Rowan Karaman is affiliated with Labette Health, Freeman Health System - Freeman West, Cox Barton County Hospital and Freeman Neosho Hospital.

When was this NPI record last updated?

The NPPES record for Rowan Karaman was last updated on November 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.