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KAREN E SZCZEPANSKI M.D.
NPI 1447287933
Pediatrics in Cincinnati, OH

Active since June 28, 2006PECOS Enrolled
9070 WINTON RD, CINCINNATI, OH 45231(513) 246-7000 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2022, May 2, 2019 (2 updates tracked since 2019).

About Karen E Szczepanski M.d. NPPES

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

KAREN E SZCZEPANSKI M.D. (NPI 1447287933) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.077568) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1447287933
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAREN E SZCZEPANSKICredential: M.D.
Location Address9070 WINTON RDCincinnati, OH 45231-3828
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 246-1964
Phone(513) 246-7000
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
✔ NPI 1447287933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.077568
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9070 WINTON RD, Cincinnati, OH 45231
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Secondary Practice Location 1

Location 13333 Burnet Ave, Ml 2008Cincinnati, OH 45229-3039 · Phone (513) 636-7966 · Fax (513) 636-7967

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen E Szczepanski M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Karen Szczepanski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center
6.2 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
Trihealth G LLC
6.3 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45231 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 9

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

DR. KIRA ANN ZIMMERLY M.D
Pediatrics
9070 WINTON RD
CINCINNATI, OH 45231
Hamilton County (513) 522-7600
DR. JOHN ROBINSON JR. MD
Pediatrics
9070 WINTON RD, SUITE 130
CINCINNATI, OH 45231
Hamilton County (513) 246-7000
DR. KEVIN BUDKE MD
Internal Medicine
9070 WINTON RD
CINCINNATI, OH 45231
Hamilton County (513) 246-7000
DR. MELANIE SPAEDY MD
Internal Medicine
9070 WINTON RD
CINCINNATI, OH 45231
Hamilton County (513) 522-7600
SPENCER WADE
Internal Medicine
9070 WINTON RD
CINCINNATI, OH 45231
Hamilton County (513) 246-2750
TRIHEALTH G., LLC
Internal Medicine
9070 WINTON RD
CINCINNATI, OH 45231
Hamilton County (513) 246-7000
DR. MARY ELAINE BILLMIRE MD
Pediatrics
9070 WINTON RD
CINCINNATI, OH 45231
Hamilton County (513) 246-7000
CINCINNATI CHILDREN'S SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
9070 WINTON RD
CINCINNATI, OH 45231
Hamilton County (713) 489-2198

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 Szczepanski's NPI number?

The NPI number for Karen Szczepanski is 1447287933. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Karen Szczepanski located?

Karen Szczepanski practices at 9070 Winton Rd, Cincinnati, OH 45231. The listed phone number is (513) 246-7000.

What is Karen Szczepanski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Szczepanski enrolled in Medicare?

Yes. Karen Szczepanski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Szczepanski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Szczepanski reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). 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 Szczepanski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Szczepanski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Karen Szczepanski 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 Szczepanski was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.