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HEATHER LYN KARU MD
NPI 1396791232
Surgery - Plastic and Reconstructive Surgery in Sioux Falls, SD

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1500 W 22ND ST, SIOUX FALLS, SD 57105(605) 328-0000(605) 328-0001 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather Lyn Karu Md NPPES

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

HEATHER LYN KARU MD (NPI 1396791232) is an individual plastic and reconstructive surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (5094) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1999).

NPPES Registry Identity

NPI1396791232
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameHEATHER LYN KARUCredential: MD
Location Address1500 W 22ND STSioux Falls, SD 57105
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Phone(605) 328-0000
Fax(605) 328-0001
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1999
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 20, 2018
✔ NPI 1396791232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in SD · 5094
Definition

A surgeon who specializes in plastic and reconstructive surgery.

1500 W 22ND ST, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Names 1

Former Name (1)Heather Lyn Karunaratne Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Heather Lyn Karu 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.

PECOS PAC ID9537165758
PECOS Enrollment IDI20061011000640
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 5

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.

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.
64 services21 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.
28 services21 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.
19 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

KEITH A HANSEN M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
1500 W 22ND ST, STE 102
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7700
LAURIE B LANDEEN M.D.
Obstetrics & Gynecology
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7700
SHELLEY J MORRISON M.D.
Obstetrics & Gynecology
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7700
TERRY ENGELMANN CNM
Advanced Practice Midwife
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7700
RIFAT HUSSAIN MD
Plastic Surgery
1500 W 22ND ST, STE 104
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-0000
VICKIE L REIFF CNM
Midwife
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-4600
TAMMI K STANGOHR PA-C
Physician Assistant
1500 W 22ND ST, STE 102
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7700
SANFORD CLINIC
Plastic Surgery
1500 W 22ND ST, STE 101
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-0000

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 Heather Karu's NPI number?

The NPI number for Heather Karu is 1396791232. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Heather Lyn Karunaratne MD.

Where is Heather Karu located?

Heather Karu practices at 1500 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 328-0000.

What is Heather Karu's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Heather Karu enrolled in Medicare?

Yes. Heather Karu 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 Heather Karu accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Heather Karu 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 Heather Karu affiliated with any hospitals?

According to CMS data, Heather Karu is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Karu was last updated on June 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.