KARIN A SLOAN M.D.
NPI 1376653782
Internal Medicine - Pulmonary Disease in Hyannis, MA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
74.75/100
CMS Quality Rating
46 NORTH ST STE 7, HYANNIS, MA 02601(508) 775-2295 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Aug 29, 2016 (2 updates tracked since 2016).

About Karin A Sloan M.d. NPPES

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

KARIN A SLOAN M.D. (NPI 1376653782) is an individual pulmonary disease provider in Hyannis, Massachusetts, licensed in Massachusetts (226990) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (2001).

NPPES Registry Identity

NPI1376653782
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameKARIN A SLOANCredential: M.D.
Location Address46 NORTH ST STE 7Hyannis, MA 02601-3845
Mailing Address46 North St Ste 7Hyannis, MA 02601-3845 · (508) 775-2295
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2001
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
NPI 1376653782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 226990
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 226990 (MA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 226990 (MA)
46 NORTH ST STE 7, Hyannis, MA 02601

Other Identifiers 11

Other04-2297845Multi-plan
Medicaid110080595AMA
OtherJ44101MA · Blue Cross Bue Shield
Other04-2297845Hcvm
Other097193Tufts And Tmp
OtherAA491980Harvard Pilgrim
Other044-2297845United Health Care
Medicaid110006020MA
Other04-2297845Tricare
Other9326163Aetna
Other1376653782Neighborhood Health Center

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

Karin A Sloan M.d. 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 ID6901873439
PECOS Enrollment IDI20081027000359
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 10

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 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.
58 services58 patients
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.
47 services40 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.
30 services28 patients
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.
23 services23 patients
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.
21 services19 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

74.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.2
Promoting Interoperability77
Improvement Activities40
Cost64.8

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers197 claims197 services$34.84 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers64 claims132 services$1.20 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers23 claims24 services$7.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers158 claims158 services$76.67 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers147 claims428 services$28.58 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers61 claims356 services$16.34 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 2

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

Psychiatry & Neurology (Neurology)
46 NORTH ST STE 7
HYANNIS, MA 02601
Internal Medicine (Pulmonary Disease)
46 NORTH ST STE 7
HYANNIS, MA 02601

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 Karin Sloan's NPI number?

The NPI number for Karin Sloan is 1376653782. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Karin Sloan located?

Karin Sloan practices at 46 North St Ste 7, Hyannis, MA 02601. The listed phone number is (508) 775-2295.

What is Karin Sloan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Karin Sloan enrolled in Medicare?

Yes. Karin Sloan 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 Karin Sloan accept?

Health plans from Anthem Blue Cross and Blue Shield list Karin Sloan 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 Karin Sloan affiliated with any hospitals?

According to CMS data, Karin Sloan is affiliated with Cape Cod Hospital and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Karin Sloan was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.