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KARL J BEER M.D.
NPI 1568577153
Orthopaedic Surgery in Toledo, OH

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
2865 N REYNOLDS RD, SUITE 160, TOLEDO, OH 43615(419) 578-4260(419) 578-5630 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karl J Beer M.d. NPPES

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

KARL J BEER M.D. (NPI 1568577153) is an individual orthopaedic surgery provider in Toledo, Ohio, licensed in Ohio (35-05-4616-B) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Indiana University School Of Medicine (1982).

NPPES Registry Identity

NPI1568577153
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKARL J BEERCredential: M.D.
Location Address2865 N REYNOLDS RD, SUITE 160Toledo, OH 43615-2068
Mailing Address2865 N Reynolds Rd, Suite 160Toledo, OH 43615-2068 · (419) 578-4260 · Fax (419) 578-5630
Phone(419) 578-4260
Fax(419) 578-5630
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1982
Enumeration DateAugust 21, 2006
Last NPPES UpdateNovember 3, 2023
✔ NPI 1568577153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in OH · 35-05-4616-B
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2865 N REYNOLDS RD, Toledo, OH 43615
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Other Identifiers 7

Other000000231369OH · Anthem Blue Cross
Other000000615201Anthem
Other200043868Railroad Medicare
Medicaid0660217OH
OtherBE0596378OH · Medicare
Other00205OH · Paramount Health Care
OtherP00752929Rrmc

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karl J Beer 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 ID3476458902
PECOS Enrollment IDI20040131000343
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
464 services40 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.
81 services76 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
63 services46 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.
62 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers26 claims26 services$43.68 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.

DR. JOHN VERNON HOUGHTALING MD
Orthopaedic Surgery (Hand Surgery)
2865 N REYNOLDS RD, BUILDING A
TOLEDO, OH 43615
Lucas County (419) 578-7200
PROMEDICA CENTRAL PHYSICIANS, LLC
Orthopaedic Surgery
2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615
Lucas County (419) 578-4260
ANTHONY FROGAMENI III M.D.
Orthopaedic Surgery (Sports Medicine)
2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615
Lucas County (419) 578-7200
CHARLES KING DABBS MD
Ophthalmology (Retina Specialist)
2865 N REYNOLDS RD, SUITE 230
TOLEDO, OH 43615
Lucas County (419) 578-4367
RECONSTRUCTIVE AND AESTHETIC SURGERY CENTER LTD
Clinic/Center (Ambulatory Surgical)
2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615
Lucas County (419) 534-6551
MRS. NICOLE MARIE TOMLINSON ATC
Specialist/Technologist (Athletic Trainer)
2865 N REYNOLDS RD, SUITE 110
TOLEDO, OH 43615
Lucas County (419) 578-7530
JOHN R SCHUNEMAN M.A.,CCC-A
Audiologist
2865 N REYNOLDS RD, 120
TOLEDO, OH 43615
Lucas County (419) 578-7557
MARY E DERCK ATC
Specialist/Technologist (Athletic Trainer)
2865 N REYNOLDS RD, STE. 110
TOLEDO, OH 43615
Lucas County (419) 578-7530

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 Karl Beer's NPI number?

The NPI number for Karl Beer is 1568577153. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Karl Beer located?

Karl Beer practices at 2865 N Reynolds Rd Suite 160, Toledo, OH 43615. The listed phone number is (419) 578-4260.

What is Karl Beer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Karl Beer enrolled in Medicare?

Yes. Karl Beer 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 Karl Beer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 2 other insurers list Karl Beer 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.

Is Karl Beer affiliated with any hospitals?

According to CMS data, Karl Beer is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Karl Beer was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.