KAREN ANN FRANKWICH MD
NPI 1316100415
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mission Viejo, CA

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
26800 CROWN VALLEY PKWY STE 230, MISSION VIEJO, CA 92691(949) 542-8004 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2022, Oct 22, 2021, Oct 28, 2020 (3 updates tracked since 2020).

About Karen Ann Frankwich Md NPPES

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

KAREN ANN FRANKWICH MD (NPI 1316100415) is an individual endocrinology, diabetes & metabolism provider in Mission Viejo, California, licensed in California (A109808) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2008).

NPPES Registry Identity

NPI1316100415
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKAREN ANN FRANKWICHCredential: MD
Location Address26800 CROWN VALLEY PKWY STE 230Mission Viejo, CA 92691-8038
Mailing Address26800 Crown Valley Pkwy Ste 230Mission Viejo, CA 92691-8038 · (949) 542-8004
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2008
Enumeration DateJuly 8, 2008
Last NPPES UpdateApril 25, 20223 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
NPI 1316100415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · A109808
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License A109808 (CA)
26800 CROWN VALLEY PKWY STE 230, Mission Viejo, CA 92691

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 Ann Frankwich 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 ID1658592282
PECOS Enrollment IDI20141024001230
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 17

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.
695 services363 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.
85 services52 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
81 services77 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
54 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
51 services13 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
22 suppliers73 claims180 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers24 claims28 services$0.97 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
8 suppliers93 claims99 services$180.38 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 (Endocrinology, Diabetes & Metabolism)
26800 CROWN VALLEY PKWY STE 230
MISSION VIEJO, CA 92691
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26800 CROWN VALLEY PKWY STE 230
MISSION VIEJO, CA 92691
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26800 CROWN VALLEY PKWY STE 230
MISSION VIEJO, CA 92691

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 Karen Frankwich's NPI number?

The NPI number for Karen Frankwich is 1316100415. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Karen Frankwich located?

Karen Frankwich practices at 26800 Crown Valley Pkwy Ste 230, Mission Viejo, CA 92691. The listed phone number is (949) 542-8004.

What is Karen Frankwich's specialty?

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

Is Karen Frankwich enrolled in Medicare?

Yes. Karen Frankwich 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.

When was this NPI record last updated?

The NPPES record for Karen Frankwich was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.