DR. KAREN A HOERST MD
NPI 1437392115
Psychiatry & Neurology - Neurology in West Reading, PA
About Dr. Karen A Hoerst Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAREN A HOERST MD (NPI 1437392115) is an individual neurology provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD449064) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
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
Dr. Karen A Hoerst 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
8Medicare enrollment records show Karen Hoerst reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 258 clinicians in this Medicare group
Chicago, IL 60657
- Reassigned Medicare billing, Illinois enrollment
- 4,870 clinicians in this Medicare group
Milwaukee, WI 53215
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois and Pennsylvania enrollments
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 394 clinicians in this Medicare group
Normal, IL 61761
- Reassigned Medicare billing, Pennsylvania enrollment
- 2 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, Louisiana, Montana, Pennsylvania, South Dakota and West Virginia enrollments
- 172 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, Colorado and Pennsylvania enrollments
- 110 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Karen Hoerst's NPI number?
The NPI number for Karen Hoerst is 1437392115. It was assigned to this individual provider in the NPPES registry on April 11, 2009.
Where is Karen Hoerst located?
Karen Hoerst practices at 301 S 7th Ave Suite 210, West Reading, PA 19611. The listed phone number is (484) 628-4656.
What is Karen Hoerst's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Karen Hoerst enrolled in Medicare?
Yes. Karen Hoerst 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 Karen Hoerst's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Hoerst reassigns Medicare benefits to 8 organizations: Mount Carmel Health System (Columbus, OH), Advocate Health And Hospitals Corp. (Chicago, IL), Aurora Medical Group, Inc. (Milwaukee, WI), Carle Health Medical Group (Urbana, IL), Baycare Aurora, LLC (Green Bay, WI) and 3 more organizations, listed in the Medicare section above. 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 Karen Hoerst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Hoerst accept?
Health plans from Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare) and Moda Health Plan, Inc. list Karen Hoerst 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.
When was this NPI record last updated?
The NPPES record for Karen Hoerst was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Dr. Karen A Hoerst, MD · NPI 1437392115
Neurology physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 11, 2009.
## Identity
- **NPI:** 1437392115 (Entity type: Individual)
- **Enumerated:** April 11, 2009
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD449064 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 S 7TH AVE, SUITE 210, West Reading, PA 19611-1410
- **Phone:** (484) 628-4656 · **Fax:** (484) 628-4657
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Mount Carmel Health System (NPI 1336255918, Columbus, OH); Advocate Health And Hospitals Corp. (NPI 1487951711, Chicago, IL); Aurora Medical Group, Inc. (NPI 1427271378, Milwaukee, WI); Carle Health Medical Group (NPI 1154653947, Urbana, IL); Baycare Aurora, LLC (NPI 1255387726, Green Bay, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 30, 2025
- **Other identifiers:** Medicaid 100284285 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1437392115) · Data from the CMS NPPES public registry.