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KARL J PAPIERNIAK MD
NPI 1417059221
Surgery in New Ulm, MN

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
1217 8TH ST N, NEW ULM, MN 56073(507) 217-5000 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karl J Papierniak Md NPPES

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

KARL J PAPIERNIAK MD (NPI 1417059221) is an individual surgery provider in New Ulm, Minnesota, licensed in Minnesota (28425) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with New Ulm Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1979).

NPPES Registry Identity

NPI1417059221
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKARL J PAPIERNIAKCredential: MD
Location Address1217 8TH ST NNew Ulm, MN 56073-1552
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(507) 217-5000
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1979
Enumeration DateSeptember 2, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1417059221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MN · 28425
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1217 8TH ST N, New Ulm, MN 56073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Karl J Papierniak 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 ID42207672
PECOS Enrollment IDI20040427000660
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 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
31 services31 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
28 services27 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
24 services24 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
21 services21 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
19 services18 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

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

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56073 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

CHARLES SIEBERG PHARMD
Pharmacist
1217 8TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
DAVID J SCHAETZKE MS, LP
Psychologist (Clinical)
1217 8TH ST N
NEW ULM, MN 56073
Brown County (507) 233-1000
SUSAN EVELYN RUDOLPH M.D.
Dermatology
1217 8TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
ALYSSA KRISTINE RUBEY PHARMD
Pharmacist
1217 8TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
ERIKA ANNE SLETTEN LICSW
Social Worker (Clinical)
1217 8TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
ALLINA HEALTH SYSTEM
Pharmacy (Community/Retail Pharmacy)
1217 8TH ST N, SUITE 1010
NEW ULM, MN 56073
Brown County (507) 217-5808
ROBIN C HARMER
Nurse Practitioner (Family)
1217 8TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000
AMBER DAWN BYNES DNP
Nurse Practitioner (Family)
1217 8TH ST N
NEW ULM, MN 56073
Brown County (507) 217-5000

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 Papierniak's NPI number?

The NPI number for Karl Papierniak is 1417059221. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Karl Papierniak located?

Karl Papierniak practices at 1217 8th St N, New Ulm, MN 56073. The listed phone number is (507) 217-5000.

What is Karl Papierniak's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Karl Papierniak enrolled in Medicare?

Yes. Karl Papierniak 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 Karl Papierniak accept?

Health plans from HealthPartners and Medica list Karl Papierniak 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 Papierniak affiliated with any hospitals?

According to CMS data, Karl Papierniak is affiliated with New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for Karl Papierniak was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.