KARINE KARAPETYAN M.D.
NPI 1558598243
Internal Medicine in Lewes, DE

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
424 SAVANNAH RD, LEWES, DE 19958(302) 645-3525(302) 645-3513 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, Jul 27, 2020, Feb 5, 2020 and 2 more (5 updates tracked since 2017).

About Karine Karapetyan M.d. NPPES

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

KARINE KARAPETYAN M.D. (NPI 1558598243) is an individual internal medicine provider in Lewes, Delaware, licensed in Delaware (C1-0011442) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lewes, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1558598243
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKARINE KARAPETYANCredential: M.D.
Location Address424 SAVANNAH RDLewes, DE 19958-1462
Mailing Address1515 Savannah RdLewes, DE 19958-1675 · (302) 645-3499 · Fax (302) 644-4830
Fax(302) 645-3513
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 19, 2009
Last NPPES UpdateJune 4, 20255 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1558598243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in DE · C1-0011442 Licensed in PA · MD446198
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD446198 (PA), C1-0011442 (DE)
424 SAVANNAH RD, Lewes, DE 19958

Secondary Practice Location 1

Location 11305 Savannah RdLewes, DE 19958-1501 · Phone (302) 291-6450 · Fax (866) 436-6114

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karine Karapetyan M.d. 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 ID2961659008
PECOS Enrollment IDI20151110000162
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.

Areas of Expertise CMS Part B claims

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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
29 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19958 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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…
100%322 patients5/55-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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$14.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers38 claims38 services$82.79 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.

Registered Nurse (Critical Care Medicine)
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse (Critical Care Medicine)
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD, BEEBE HEALTH CARE
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958

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 Karine Karapetyan's NPI number?

The NPI number for Karine Karapetyan is 1558598243. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Karine Karapetyan located?

Karine Karapetyan practices at 424 Savannah Rd, Lewes, DE 19958. The listed phone number is (302) 645-3525.

What is Karine Karapetyan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karine Karapetyan enrolled in Medicare?

Yes. Karine Karapetyan 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.

What insurance does Karine Karapetyan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Karine Karapetyan 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 Karine Karapetyan was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.