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: July 26, 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 (1999).

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 1999
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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Karl Hapcic accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma 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 with the weekly NPPES data releases published by CMS.