DR. KAROLYN A WANAT MD
NPI 1396908216
Dermatology in Wauwatosa, WI

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
10000 W BLUEMOUND RD, WAUWATOSA, WI 53226(414) 454-8000(414) 805-3808 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2022, Aug 29, 2018 (2 updates tracked since 2018).

About Dr. Karolyn A Wanat Md NPPES

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

DR. KAROLYN A WANAT MD (NPI 1396908216) is an individual dermatology provider in Wauwatosa, Wisconsin, licensed in Wisconsin (69262) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1396908216
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. KAROLYN A WANATCredential: MD
Location Address10000 W BLUEMOUND RDWauwatosa, WI 53226-4321
Mailing Address10000 W Bluemound RdWauwatosa, WI 53226-4321 · (414) 454-8000 · Fax (414) 805-3808
Fax(414) 805-3808
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2008
Enumeration DateJuly 10, 2008
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1396908216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WI · 69262
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 69262 (WI)
10000 W BLUEMOUND RD, Wauwatosa, WI 53226

Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226 · Phone (414) 805-3666 · Fax (414) 805-5323

Other Identifiers 1

Medicaid1396908216WI

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. Karolyn A Wanat 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 ID3678716271
PECOS Enrollment IDI20181016001062
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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
431 services288 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
159 services114 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
76 services19 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.
69 services61 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
50 services47 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.
50 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Nurse Practitioner (Family)
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Rehabilitation Unit
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Dermatology (MOHS-Micrographic Surgery)
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Dermatology (MOHS-Micrographic Surgery)
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Pharmacy (Community/Retail Pharmacy)
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Dermatology
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Dermatology
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226
Physician Assistant
10000 W BLUEMOUND RD
WAUWATOSA, WI 53226

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 Karolyn Wanat's NPI number?

The NPI number for Karolyn Wanat is 1396908216. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Karolyn Wanat located?

Karolyn Wanat practices at 10000 W Bluemound Rd, Wauwatosa, WI 53226. The listed phone number is (414) 454-8000.

What is Karolyn Wanat's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Karolyn Wanat enrolled in Medicare?

Yes. Karolyn Wanat 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 Karolyn Wanat accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and Network Health list Karolyn Wanat 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 Karolyn Wanat affiliated with any hospitals?

According to CMS data, Karolyn Wanat is affiliated with Aurora St Lukes Medical Center and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Karolyn Wanat was last updated on July 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.