DR. KARL J HAPCIC MD,DDS
NPI 1376650218
Plastic Surgery in Bismarck, ND

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
2252 N. SEVENTH ST, BISMARCK, ND 58501(701) 323-5300(701) 323-5886 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2019, Oct 17, 2016 (2 updates tracked since 2016).

About Dr. Karl J Hapcic Md,dds NPPES

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

DR. KARL J HAPCIC MD,DDS (NPI 1376650218) is an individual plastic surgery provider in Bismarck, North Dakota, licensed in New Mexico (MD2012-0844) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Carlsbad Medical Center, and is a graduate of Eastern Virginia Medical School (1996).

NPPES Registry Identity

NPI1376650218
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. KARL J HAPCICCredential: MD,DDS
Location Address2252 N. SEVENTH STBismarck, ND 58501
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770
Fax(701) 323-5886
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1996
Enumeration DateAugust 24, 2006
Last NPPES UpdateMay 21, 20192 updates tracked since enumeration
✔ NPI 1376650218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NM · MD2012-0844
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 14022 (ND)
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 14022 (ND)
2252 N. SEVENTH ST, Bismarck, ND 58501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karl J Hapcic Md,dds 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 ID6103819123
PECOS Enrollment IDI20190612002019
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Karl Hapcic reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural
1010 SPRUCE ST
Espanola, NM 87532
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
General Practice
2420 W PIERCE ST, SUITE 200 B
Carlsbad, NM 88220
  • Reassigned Medicare billing, New Mexico enrollment
  • 71 clinicians in this Medicare group
Surgery
604 ANN ST
Parkersburg, WV 26101
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 56 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
53 services53 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services28 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.
36 services27 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Carlsbad Medical Center

Acute Care Hospitals · Carlsbad, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number320063
Location2430 West Pierce StreetCarlsbad, NM 88220 · Eddy County
Emergency services Birthing friendly

Nor-Lea Hospital District

Critical Access Hospitals · Lovington, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number321305
Location1600 North Main AveLovington, NM 88260 · Lea County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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 Karl Hapcic's NPI number?

The NPI number for Karl Hapcic is 1376650218. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Karl Hapcic located?

Karl Hapcic practices at 2252 N. Seventh St, Bismarck, ND 58501. The listed phone number is (701) 323-5300.

What is Karl Hapcic's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Karl Hapcic enrolled in Medicare?

Yes. Karl Hapcic 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.

Which organizations bill Medicare for Karl Hapcic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Hapcic reassigns Medicare benefits to 3 organizations: Presbyterian Healthcare Services (Espanola, NM), Pecos Valley Of New Mexico, LLC (Carlsbad, NM) and Camden-Clark Physician Corporation (Parkersburg, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karl Hapcic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Hapcic accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Karl Hapcic 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 Karl Hapcic affiliated with any hospitals?

According to CMS data, Karl Hapcic is affiliated with Carlsbad Medical Center and Nor-Lea Hospital District.

When was this NPI record last updated?

The NPPES record for Karl Hapcic was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.