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MEGAN KARLOVICH PA-C
NPI 1295426948
Physician Assistant in St Petersburg, FL

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
5880 49TH ST N STE N-104, ST PETERSBURG, FL 33709(727) 528-6100(727) 528-7895 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Aug 8, 2023, May 15, 2023 (3 updates tracked since 2023).

About Megan Karlovich Pa-c NPPES

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

MEGAN KARLOVICH PA-C (NPI 1295426948) is an individual physician assistant in St Petersburg, Florida, licensed in Florida (9117552) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Northside Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295426948
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN KARLOVICHCredential: PA-C
Location Address5880 49TH ST N STE N-104St Petersburg, FL 33709-2150
Mailing Address2720 13th St NSt Petersburg, FL 33704-2614 · (402) 709-3286
Phone(727) 528-6100
Fax(727) 528-7895
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2023
Last NPPES UpdateApril 15, 20243 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1295426948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9117552
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5880 49TH ST N STE N-104, St Petersburg, FL 33709
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Megan Karlovich Pa-c 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 ID446613509
PECOS Enrollment IDI20230823001492
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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 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 services24 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Northside Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100238
Location6000 49th St NSaint Petersburg, FL 33709 · Pinellas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33709 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. THOMAS NIENKE DO
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
5880 49TH ST N STE N-104
ST PETERSBURG, FL 33709
Pinellas County (727) 528-6100
DAPHNE E. PINKAS MD
Orthopaedic Surgery
5880 49TH ST N STE N-104
ST PETERSBURG, FL 33709
Pinellas County (727) 528-6100

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 Megan Karlovich's NPI number?

The NPI number for Megan Karlovich is 1295426948. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Megan Karlovich located?

Megan Karlovich practices at 5880 49th St N Ste N-104, St Petersburg, FL 33709. The listed phone number is (727) 528-6100.

What is Megan Karlovich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Megan Karlovich enrolled in Medicare?

Yes. Megan Karlovich 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 Megan Karlovich accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Megan Karlovich 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 Megan Karlovich affiliated with any hospitals?

According to CMS data, Megan Karlovich is affiliated with Hca Florida Northside Hospital.

When was this NPI record last updated?

The NPPES record for Megan Karlovich was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.