KAREN E SEIN OHN MD
NPI 1518119536
Internal Medicine - Gastroenterology in Granite City, IL

Active since October 22, 2008PECOS Enrolled
73.88/100
CMS Quality Rating
2100 MADISON AVE, GRANITE CITY, IL 62040(618) 798-3000 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2021, Oct 20, 2020 (2 updates tracked since 2020).

About Karen E Sein Ohn Md NPPES

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

KAREN E SEIN OHN MD (NPI 1518119536) is an individual gastroenterology provider in Granite City, Illinois, licensed in Michigan (4301069021) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1518119536
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameKAREN E SEIN OHNCredential: MD
Location Address2100 MADISON AVEGranite City, IL 62040-4713
Mailing Address2100 Madison AveGranite City, IL 62040-4713 · (618) 798-3000
Sole ProprietorNo
Enumeration DateOctober 22, 2008
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1518119536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 4301069021
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2100 MADISON AVE, Granite City, IL 62040

Secondary Practice Location 1

Location 1100 Cherry St SE, Grand RapidsGrand Rapids, MI 49503-4526 · Phone (616) 965-8200 · Fax (616) 940-5337

Accepted 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 Sein Ohn Md 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 Reassignment

Medicare enrollment records show Karen Sein Ohn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interventional Cardiology
509 HAMACHER ST
Waterloo, IL 62298
  • Reassigned Medicare billing, Illinois enrollment
  • 228 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 8

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.
66 services62 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.
53 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services19 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62040 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

73.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.79
Promoting Interoperability91
Improvement Activities40
Cost56.52

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.

Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Pharmacist
2100 MADISON AVE
GRANITE CITY, IL 62040
Physical Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Psychiatric Unit
2100 MADISON AVE
GRANITE CITY, IL 62040
Physical Therapy Assistant
2100 MADISON AVE
GRANITE CITY, IL 62040
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Occupational Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Nurse Practitioner (Acute Care)
2100 MADISON AVE
GRANITE CITY, IL 62040

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 Sein Ohn's NPI number?

The NPI number for Karen Sein Ohn is 1518119536. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Karen Sein Ohn located?

Karen Sein Ohn practices at 2100 Madison Ave, Granite City, IL 62040. The listed phone number is (618) 798-3000.

What is Karen Sein Ohn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Karen Sein Ohn enrolled in Medicare?

Yes. Karen Sein Ohn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Sein Ohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Sein Ohn reassigns Medicare benefits to Deaconess Illinois Specialty Clinic, Inc. (Waterloo, IL). The 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 Sein Ohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Sein Ohn accept?

Health plans from CareSource list Karen Sein Ohn 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 Sein Ohn was last updated on July 14, 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.