MARTIN KARLICEK MD
NPI 1487861126
Internal Medicine - Pulmonary Disease in Carlisle, PA

Q: What is Martin Karlicek's NPI number?

The NPI number for Martin Karlicek is 1487861126. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Martin Karlicek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Martin Karlicek was last updated on February 9, 2021. 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.

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment

361 ALEXANDER SPRING RD, CARLISLE, PA 17015(717) 231-8772(717) 231-8435 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2021, Jan 27, 2021, Dec 10, 2020 and 1 more (4 updates tracked since 2020).

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About Martin Karlicek Md NPPES

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

MARTIN KARLICEK MD (NPI 1487861126) is an individual pulmonary disease provider in Carlisle, Pennsylvania, licensed in Florida (ME148401) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Broward Health North, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1487861126

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMARTIN KARLICEKCredential: MD

Location Address361 ALEXANDER SPRING RDCarlisle, PA 17015-6940

Mailing Address110 Front St, Ste 300Jupiter, FL 33477-5095 · (717) 231-8772 · Fax (717) 231-8435

Phone(717) 231-8772

Fax(717) 231-8435

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMay 16, 2007

Last NPPES UpdateFebruary 9, 20214 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2021

✔ NPI 1487861126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · ME148401

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedHospitalistTaxonomy 208M00000X · License ME148401 (FL)

361 ALEXANDER SPRING RD, Carlisle, PA 17015

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Other Identifiers 1

Medicaid1020871850002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Martin Karlicek 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 ID2062591274

PECOS Enrollment IDI20150421002421

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

Medicare enrollment records show Martin Karlicek reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Health Hospitalist Services LLC

23 mi

Hospitalist

4300 LONDONDERRY RD
Harrisburg, PA 17109

Reassigned Medicare billing, Pennsylvania enrollment
322 clinicians in this Medicare group

NPI 1023458148 (717) 231-8772

Florida Hospital Medicine Services, LLC.

949 mi

Hospitalist

21644 STATE ROAD 7
Boca Raton, FL 33428

Reassigned Medicare billing, Florida enrollment
516 clinicians in this Medicare group

NPI 1508873183 (561) 488-8000

Northeast Florida Hospitalists Inc

962 mi

Hospitalist

5352 LINTON BLVD
Delray Beach, FL 33484

Reassigned Medicare billing, Florida enrollment
140 clinicians in this Medicare group

NPI 1013036219 (561) 498-4440

Eastside Hospitalists Inc

991 mi

Hospitalist

3501 JOHNSON ST
Hollywood, FL 33021

Reassigned Medicare billing, Florida enrollment
413 clinicians in this Medicare group

NPI 1285676957 (954) 265-2000

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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

257 services242 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

133 services130 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Broward Health North

Acute Care Hospitals · Pompano Beach, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100086

Location201 E Sample RdPompano Beach, FL 33064 · Broward County

Emergency services

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100200

Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17015 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

93%277 patients4/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$46.44 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$2.52 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$4.64 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$17.96 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$7.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DEBORAH BIDDLE CRNA

Nurse Anesthetist, Certified Registered