KAREN J. VANDERWALL M.D.
NPI 1639103781
Anesthesiology - Pediatric Anesthesiology in San Diego, CA

Q: What is Karen Vanderwall's NPI number?

The NPI number for Karen Vanderwall is 1639103781. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Karen Vanderwall's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Vanderwall was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 11, 2006PECOS Enrolled

79.24/100

CMS Quality Rating

3626 RUFFIN RD, SAN DIEGO, CA 92123(858) 565-9666(858) 565-9441 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Karen J. Vanderwall M.d. NPPES

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

KAREN J. VANDERWALL M.D. (NPI 1639103781) is an individual pediatric anesthesiology provider in San Diego, California, licensed in California (G77187) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639103781

Entity TypeIndividualFemale

Primary Taxonomy207LP3000X

Provider Legal NameKAREN J. VANDERWALLCredential: M.D.

Location Address3626 RUFFIN RDSan Diego, CA 92123-1810

Mailing Address3626 Ruffin RdSan Diego, CA 92123-1810 · (858) 565-9666 · Fax (858) 565-9441

Phone(858) 565-9666

Fax(858) 565-9441

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateDecember 7, 2007

✔ NPI 1639103781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in CA · G77187

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Also ListedAnesthesiologyTaxonomy 207L00000X · License G77187 (CA)

3626 RUFFIN RD, San Diego, CA 92123

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Other Identifiers 4

Other00G771870CA · Blue Shield Of Ca

Medicaid00G771870CA

Medicare UPINF68191CA

Medicare PINWG77187ACA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen J. Vanderwall M.d. 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.

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.

Anesthesia for electroshock therapy 00104

Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.

29 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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.

79.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.57

Improvement Activities

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.

THOMAS J. PIETUCH M.D.

Anesthesiology