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DR. PAUL STUART KARLIN D.O.
NPI 1629077334
Internal Medicine - Pulmonary Disease in Huntingdon Valley, PA

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
80.11/100
CMS Quality Rating
445 SHADY LN, 2ND FL, HUNTINGDON VALLEY, PA 19006(215) 663-9095(215) 663-9578 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Stuart Karlin D.o. NPPES

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

DR. PAUL STUART KARLIN D.O. (NPI 1629077334) is an individual pulmonary disease provider in Huntingdon Valley, Pennsylvania, licensed in Pennsylvania (OS-004732-L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (1980).

NPPES Registry Identity

NPI1629077334
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PAUL STUART KARLINCredential: D.O.
Location Address445 SHADY LN, 2ND FLHuntingdon Valley, PA 19006-8749
Mailing AddressPo Box 820933Phila, PA 19182-0933 · (215) 663-9095 · Fax (215) 663-9578
Phone(215) 663-9095
Fax(215) 663-9578
Sole ProprietorNo
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 1980
Enumeration DateJuly 15, 2005
Last NPPES UpdateDecember 18, 2013
✔ NPI 1629077334 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 PA · OS-004732-L
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 ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License OS004732L (PA)
445 SHADY LN, Huntingdon Valley, PA 19006
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Other Identifiers 17

Other4075911PA · Aetna
Other220025652PA · Railroad Medicare
Other26306OS004732LPA · Health Partners
Other597586PA · Medicare Group
Other3Y9187PA · Health Net
OtherP00721318PA · Railroad Medicare
OtherP410214PA · Oxford
Other01009305-05PA · Hma
Other195790PA · Blue Shield
Other0405458001PA · Cigna
Other2143798PA · United Healthcare
Medicaid0010093050005PA
Other172460PA · Oaktree
Other195790JTQPA · Medicare
Medicare UPINB41086PA
Other0061661000PA · Keystone
Medicare PIN195790JTQPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Paul Stuart Karlin D.o. 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 ID4082774534
PECOS Enrollment IDI20230309002607
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 5

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.

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.
94 services60 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.
91 services65 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.
63 services63 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
11 services11 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19006 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

80.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.29
Promoting Interoperability97
Improvement Activities40
Cost64.85

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers38 claims38 services$32.41 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers42 claims42 services$72.52 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers34 claims90 services$24.95 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers12 claims67 services$12.19 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers25 claims25 services$40.89 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
11 suppliers38 claims38 services$14.11 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT MICHELSON M.D.
Internal Medicine (Pulmonary Disease)
445 SHADY LN, 2ND FL
HUNTINGDON VALLEY, PA 19006
Montgomery County (215) 663-9095
DR. ALLAN PERRY FREEDMAN M.D.
Internal Medicine (Pulmonary Disease)
445 SHADY LN, 2ND FL
HUNTINGDON VALLEY, PA 19006
Montgomery County (215) 663-9095
TEMPLE PHYSICIANS INC
Internal Medicine (Pulmonary Disease)
445 SHADY LN, 2ND FLOOR
HUNTINGDON VALLEY, PA 19006
Montgomery County (215) 663-9095

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 Paul Karlin's NPI number?

The NPI number for Paul Karlin is 1629077334. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Paul Karlin located?

Paul Karlin practices at 445 Shady Ln 2nd Fl, Huntingdon Valley, PA 19006. The listed phone number is (215) 663-9095.

What is Paul Karlin's specialty?

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

Is Paul Karlin enrolled in Medicare?

Yes. Paul Karlin 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 Paul Karlin accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Paul Karlin 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 Paul Karlin affiliated with any hospitals?

According to CMS data, Paul Karlin is affiliated with Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Karlin was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.