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DR. KARLA SUE VITALE D.O.
NPI 1659334779
Family Medicine in Victoria, TX

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
309 EDINBURGH ST, VICTORIA, TX 77904(505) 285-1437 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karla Sue Vitale D.o. NPPES

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

DR. KARLA SUE VITALE D.O. (NPI 1659334779) is an individual family medicine provider in Victoria, Texas, licensed in Texas (P7366) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with De Tar Hospital Navarro, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2001).

NPPES Registry Identity

NPI1659334779
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KARLA SUE VITALECredential: D.O.
Location Address309 EDINBURGH STVictoria, TX 77904-2895
Mailing Address309 Edinburgh StVictoria, TX 77904-2895 · (505) 285-1437
Phone(505) 285-1437
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2001
Enumeration DateApril 10, 2006
Last NPPES UpdateApril 13, 2021
NPPES CertifiedApril 13, 2021
✔ NPI 1659334779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · P7366
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.
309 EDINBURGH ST, Victoria, TX 77904
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Other Identifiers 5

OtherAZ0783160AZ · Bcbs
OtherX0196037TX · Texas Dps
Medicaid954140AZ
Other2Z1716AZ · Healthnet
Other7039717AZ · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Karla Sue Vitale 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 ID3577509819
PECOS Enrollment IDI20130809000593
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
362 services332 patients

Hospital Affiliations CMS Care Compare 5

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

De Tar Hospital Navarro

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450147
Location506 E San Antonio StVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Cuero Regional Hospital

Acute Care Hospitals · Cuero, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450597
Location2550 N EsplanadeCuero, TX 77954 · De Witt County
Emergency services Birthing friendly

Yoakum Community Hospital

Critical Access Hospitals · Yoakum, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451346
Location1200 Carl Ramert DriveYoakum, TX 77995 · Lavaca County
Emergency services

Memorial Medical Center

Critical Access Hospitals · Port Lavaca, TX
OwnershipGovernment - Local
CMS Certification Number451356
Location701 N Virginia StPort Lavaca, TX 77979 · Calhoun County
Emergency services

Lavaca Medical Center

Critical Access Hospitals · Hallettsville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451376
Location1400 North Texana StreetHallettsville, TX 77964 · Lavaca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
68%179 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
49%253 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
26%69 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
64%365 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
37%196 patients2/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
95%196 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,225 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
47%201 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
72%201 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%733 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 272 patients
Patients tobacco: 26% · 35 patients
87%271 patients4/55-star benchmark: 98%
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.

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 Karla Vitale's NPI number?

The NPI number for Karla Vitale is 1659334779. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Karla Vitale located?

Karla Vitale practices at 309 Edinburgh St, Victoria, TX 77904. The listed phone number is (505) 285-1437.

What is Karla Vitale's specialty?

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

Is Karla Vitale enrolled in Medicare?

Yes. Karla Vitale 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 Karla Vitale accept?

Health plans from Blue Cross and Blue Shield of Texas list Karla Vitale 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 Karla Vitale affiliated with any hospitals?

According to CMS data, Karla Vitale is affiliated with De Tar Hospital Navarro, Cuero Regional Hospital, Yoakum Community Hospital, Memorial Medical Center and Lavaca Medical Center.

When was this NPI record last updated?

The NPPES record for Karla Vitale was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.