DR. KARINA SZCZEPANCZYK M.D.
NPI 1386074292
Internal Medicine - Endocrinology, Diabetes & Metabolism in Middletown, CT

Q: What is Karina Szczepanczyk's NPI number?

The NPI number for Karina Szczepanczyk is 1386074292. It was assigned to this individual provider in the NPPES registry on November 14, 2013.

Q: What is Karina Szczepanczyk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since November 14, 2013PECOS EnrolledAccepts Medicare Assignment

92.22/100

CMS Quality Rating

540 SAYBROOK RD STE 210, MIDDLETOWN, CT 06457(860) 358-2470(860) 358-8693 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2026, Jul 25, 2019, May 15, 2018 (3 updates tracked since 2018).

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About Dr. Karina Szczepanczyk M.d. NPPES

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

DR. KARINA SZCZEPANCZYK M.D. (NPI 1386074292) is an individual endocrinology, diabetes & metabolism provider in Middletown, Connecticut, licensed in Connecticut (56985) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386074292

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. KARINA SZCZEPANCZYKCredential: M.D.

Location Address540 SAYBROOK RD STE 210Middletown, CT 06457-4759

Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-6000

Phone(860) 358-2470

Fax(860) 358-8693

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 14, 2013

Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1386074292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in CT · 56985

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

540 SAYBROOK RD STE 210, Middletown, CT 06457

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Secondary Practice Locations 2

Location 1326 Washington StNorwich, CT 06360-2740 · Phone (860) 889-8331

Location 2111 Salem TpkeNorwich, CT 06360-7403 · Phone (860) 892-6906

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Karina Szczepanczyk 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 ID8527362672

PECOS Enrollment IDI20180521002985

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

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

Middlesex Hospital

1.7 mi

Family

80 S MAIN ST
Middletown, CT 06457

Reassigned Medicare billing, Connecticut enrollment
178 clinicians in this Medicare group

NPI 1972563138 (860) 358-6394

Windham Community Memorial Hospital, Inc.

11 mi

General Acute Care Hospital

112 MANSFIELD AVE
Willimantic, CT 06226

Reassigned Medicare billing, Connecticut enrollment
302 clinicians in this Medicare group

NPI 1023191467 (860) 456-6752

Hartford Healthcare Medical Group Specialists, PLLC

15 mi

Surgery

85 SEYMOUR ST STE 415
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
1,921 clinicians in this Medicare group

NPI 1023584216 (860) 246-2071

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 7

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,080 services15 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.

123 services80 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.

63 services47 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

45 services23 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

39 services39 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

92.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.15

Promoting Interoperability

100

Improvement Activities

Cost

58.82

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers14 claims171 services$18.53 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

3 suppliers14 claims420 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

23 suppliers72 claims273 services$6.23 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers30 claims55 services$1.02 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers199 claims199 services$201.24 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 5

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

KATHRYN W TIERNEY APRN

Nurse Practitioner (Family)