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KAROLYN M IVANOVIC M.D.
NPI 1457337867
Radiology - Diagnostic Radiology in Mequon, WI

Active since December 16, 2005PECOS Enrolled
12936 N COBBLESTONE CT, MEQUON, WI 53097(612) 573-2200(612) 573-2274 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Feb 21, 2023, Nov 30, 2022 and 2 more (5 updates tracked since 2020).

About Karolyn M Ivanovic M.d. NPPES

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

KAROLYN M IVANOVIC M.D. (NPI 1457337867) is an individual diagnostic radiology provider in Mequon, Wisconsin, licensed in Minnesota (47884) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1457337867
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKAROLYN M IVANOVICCredential: M.D.
Location Address12936 N COBBLESTONE CTMequon, WI 53097-1813
Mailing Address7595 Anagram DrEden Prairie, MN 55344-7399 · (612) 573-2200 · Fax (612) 573-2274
Phone(612) 573-2200
Fax(612) 573-2274
Sole ProprietorNo
Enumeration DateDecember 16, 2005
Last NPPES UpdateDecember 5, 20245 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1457337867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MN · 47884✔ Licensed in WI · 52808
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
12936 N COBBLESTONE CT, Mequon, WI 53097
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Other Names 1

Former Name (1)Karolyn M Davidson M.d.

Secondary Practice Location 1

Location 18750 William Coffey DrMilwaukee, WI 53226-1221 · Phone (414) 805-3700

Other Identifiers 1

Medicaid1457337867WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford 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 (PECOS)

Karolyn M Ivanovic 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%361 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%243 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Ivanovic's NPI number?

The NPI number for Karolyn Ivanovic is 1457337867. It was assigned to this individual provider in the NPPES registry on December 16, 2005. The provider is also known as Karolyn M Davidson M.D..

Where is Karolyn Ivanovic located?

Karolyn Ivanovic practices at 12936 N Cobblestone Ct, Mequon, WI 53097. The listed phone number is (612) 573-2200.

What is Karolyn Ivanovic's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Karolyn Ivanovic enrolled in Medicare?

Yes. Karolyn Ivanovic is registered in the Medicare PECOS enrollment system.

What insurance does Karolyn Ivanovic accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Karolyn Ivanovic 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 Karolyn Ivanovic was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.