KARL D METZGER MD
NPI 1376862763
Hospitalist in Blue Springs, MO
About Karl D Metzger Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARL D METZGER MD (NPI 1376862763) is an individual hospitalist provider in Blue Springs, Missouri, licensed in Missouri (2023041699) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 5
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
Karl D Metzger 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.
Medicare Billing Reassignments
2Medicare enrollment records show Karl Metzger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kansas City, MO 64114
- Reassigned Medicare billing, Missouri enrollment
- 180 clinicians in this Medicare group
Shawnee, KS 66217
- Reassigned Medicare billing, Kansas enrollment
- 128 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Medical Center
Acute Care Hospitals · Kansas City, MOCenterpoint Medical Center
Acute Care Hospitals · Independence, MOSt Mary's Medical Center
Acute Care Hospitals · Blue Springs, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BLUE SPRINGS, MO 64014
BLUE SPRINGS, MO 64014
BLUE SPRINGS, MO 64014
BLUE SPRINGS, MO 64014
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 Metzger's NPI number?
The NPI number for Karl Metzger is 1376862763. It was assigned to this individual provider in the NPPES registry on May 25, 2010.
Where is Karl Metzger located?
Karl Metzger practices at 201 NW R D Mize Rd, Blue Springs, MO 64014. The listed phone number is (816) 943-5713.
What is Karl Metzger's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Karl Metzger enrolled in Medicare?
Yes. Karl Metzger 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 Metzger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karl Metzger reassigns Medicare benefits to 2 organizations: Prime Healthcare Kansas City - Physician Services LLC (Kansas City, MO) and Prime Healthcare Physician Services - Providence Inc (Shawnee, KS). 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 Metzger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karl Metzger accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Karl Metzger 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 Metzger affiliated with any hospitals?
According to CMS data, Karl Metzger is affiliated with St Joseph Medical Center, Centerpoint Medical Center and St Mary's Medical Center.
When was this NPI record last updated?
The NPPES record for Karl Metzger was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Karl D Metzger, MD · NPI 1376862763
Hospitalist physician in Blue Springs, Missouri. Individual provider, active in the CMS NPPES registry since May 25, 2010.
## Identity
- **NPI:** 1376862763 (Entity type: Individual)
- **Enumerated:** May 25, 2010
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2023041699 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 NW R D MIZE RD, Blue Springs, MO 64014-2513
- **Phone:** (816) 943-5713
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prime Healthcare Kansas City - Physician Services LLC (NPI 1427449487, Kansas City, MO); Prime Healthcare Physician Services - Providence Inc (NPI 1356683213, Shawnee, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376862763) · Data from the CMS NPPES public registry.