DR. CAROL L KARP MD
NPI 1316962525
Ophthalmology in Miami, FL

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
900 NW 17TH AVE, BOX 016960 M851, MIAMI, FL 33101(305) 326-6031(305) 243-8470 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carol L Karp Md NPPES

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

DR. CAROL L KARP MD (NPI 1316962525) is an individual ophthalmology provider in Miami, Florida, licensed in Florida (ME64774) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1316962525
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. CAROL L KARPCredential: MD
Location Address900 NW 17TH AVE, BOX 016960 M851Miami, FL 33101-6960
Mailing Address900 Nw 17th Ave, Box 016960 M851Miami, FL 33101-6960 · (305) 326-6031 · Fax (305) 243-8470
Fax(305) 243-8470
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316962525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME64774
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
900 NW 17TH AVE, Miami, FL 33101

Other Identifiers 2

Medicare UPINF80418FL
Medicare ID-Type Unspecified25286FL

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

Dr. Carol L Karp 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 ID5991762700
PECOS Enrollment IDI20041214000214
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.
92 services71 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
83 services71 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.
58 services51 patients
Imaging of front third of eye 92132
Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.
23 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33101 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

Ophthalmology
900 NW 17TH AVE
MIAMI, FL 33101
Ophthalmology
900 NW 17TH AVE, BOX 016960 M851
MIAMI, FL 33101
Optometrist
900 NW 17TH AVE
MIAMI, FL 33101
Ophthalmology
900 NW 17TH AVE, BOX 016960 M851
MIAMI, FL 33101
Ophthalmology
900 NW 17TH AVE, BOX 016960 M851
MIAMI, FL 33101
Ophthalmology
900 NW 17TH AVE, BOX 016960 M851
MIAMI, FL 33101
Ophthalmology
900 NW 17TH AVE
MIAMI, FL 33101
Ophthalmology
900 NW 17TH AVE, M851
MIAMI, FL 33101

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 Carol Karp's NPI number?

The NPI number for Carol Karp is 1316962525. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Carol Karp located?

Carol Karp practices at 900 NW 17th Ave Box 016960 M851, Miami, FL 33101. The listed phone number is (305) 326-6031.

What is Carol Karp's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Carol Karp enrolled in Medicare?

Yes. Carol Karp 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 Carol Karp accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Molina Healthcare and UnitedHealthcare list Carol Karp 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.

When was this NPI record last updated?

The NPPES record for Carol Karp was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.