KARL MICHAEL LANGBERG M.D.
NPI 1285070730
Internal Medicine - Gastroenterology in Hamden, CT

Q: What is Karl Langberg's NPI number?

The NPI number for Karl Langberg is 1285070730. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Q: What is Karl Langberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Karl Langberg was last updated on May 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment

90.74/100

CMS Quality Rating

2200 WHITNEY AVE STE 360, HAMDEN, CT 06518(203) 281-4463(203) 287-2930 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2021, Oct 8, 2020, Jun 15, 2020 (3 updates tracked since 2020).

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About Karl Michael Langberg M.d. NPPES

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

KARL MICHAEL LANGBERG M.D. (NPI 1285070730) is an individual gastroenterology provider in Hamden, Connecticut, licensed in Connecticut (55158) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2013).

NPPES Registry Identity

NPI1285070730

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameKARL MICHAEL LANGBERGCredential: M.D.

Location Address2200 WHITNEY AVE STE 360Hamden, CT 06518-3602

Mailing Address2200 Whitney Ave Ste 360Hamden, CT 06518-3602 · (203) 281-4463 · Fax (203) 287-2930

Phone(203) 281-4463

Fax(203) 287-2930

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2013

Enumeration DateMay 10, 2013

Last NPPES UpdateMay 27, 20213 updates tracked since enumeration

NPPES CertifiedMay 27, 2021

✔ NPI 1285070730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CT · 55158

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2200 WHITNEY AVE STE 360, Hamden, CT 06518

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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

Karl Michael Langberg 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 ID7719279124

PECOS Enrollment IDI20160705002005

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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

54 services54 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.

52 services45 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

43 services41 patients

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.

38 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

90.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.27

Promoting Interoperability

100

Improvement Activities

Cost

58.92

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Other Providers at the Same Location NPPES 12

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

JOSEPH DANIEL SOUCY

Internal Medicine (Gastroenterology)

2200 WHITNEY AVE STE 360
HAMDEN, CT 06518