KAREN ELISE VESELY MD
NPI 1639529639
Family Medicine in Whitefish, MT

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
1111 BAKER AVE, WHITEFISH, MT 59937(406) 862-2515(403) 862-4229 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2020, Jun 21, 2016 (2 updates tracked since 2016).

About Karen Elise Vesely Md NPPES

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

KAREN ELISE VESELY MD (NPI 1639529639) is an individual family medicine provider in Whitefish, Montana, licensed in Montana (77597) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of University Of Arizona College Of Medicine (2016).

NPPES Registry Identity

NPI1639529639
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN ELISE VESELYCredential: MD
Location Address1111 BAKER AVEWhitefish, MT 59937-2901
Mailing Address1111 Baker AveWhitefish, MT 59937-2901 · (406) 862-2515 · Fax (406) 628-4229
Fax(403) 862-4229
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateFebruary 12, 20202 updates tracked since enumeration
NPI 1639529639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MT · 77597
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1111 BAKER AVE, Whitefish, MT 59937

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

Karen Elise Vesely Md 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 ID3577895804
PECOS Enrollment IDI20191106000011
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 26

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.
454 services243 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
332 services210 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
279 services34 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
196 services159 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
188 services158 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
152 services152 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271336
Location1600 Hospital WayWhitefish, MT 59937 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59937 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims48 services$6.84 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
1 supplier11 claims11 services$119.60 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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.

Pharmacy
1111 BAKER AVE
WHITEFISH, MT 59937
Family Medicine
1111 BAKER AVE, GLACIER MEDICAL ASSOCIATES
WHITEFISH, MT 59937
Physician Assistant (Medical)
1111 BAKER AVE
WHITEFISH, MT 59937
Nurse Practitioner (Family)
1111 BAKER AVE
WHITEFISH, MT 59937
Surgery
1111 BAKER AVE, SUITE 2
WHITEFISH, MT 59937
Family Medicine
1111 BAKER AVE
WHITEFISH, MT 59937
Pharmacy (Community/Retail Pharmacy)
1111 BAKER AVE
WHITEFISH, MT 59937
Family Medicine
1111 BAKER AVE, GLACIER MEDICAL ASSOCIATES
WHITEFISH, MT 59937

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 Vesely's NPI number?

The NPI number for Karen Vesely is 1639529639. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Karen Vesely located?

Karen Vesely practices at 1111 Baker Ave, Whitefish, MT 59937. The listed phone number is (406) 862-2515.

What is Karen Vesely's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Vesely enrolled in Medicare?

Yes. Karen Vesely 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 Karen Vesely accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Karen Vesely 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 Karen Vesely affiliated with any hospitals?

According to CMS data, Karen Vesely is affiliated with Logan Health Medical Center and Logan Health - Whitefish.

When was this NPI record last updated?

The NPPES record for Karen Vesely was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.