1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Orthopaedic Surgery
  6. NPI Profile

DR. KARL MARC KOENIG MD
NPI 1659483865
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Austin, TX

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
1400 N IH 35, PAUL BASS CLINIC, AUSTIN, TX 78701(512) 495-5675 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2017, Dec 17, 2015 (2 updates tracked since 2015).

About Dr. Karl Marc Koenig Md NPPES

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

DR. KARL MARC KOENIG MD (NPI 1659483865) is an individual adult reconstructive orthopaedic surgery provider in Austin, Texas, licensed in Texas (Q6953) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of Baylor College Of Medicine (2003).

NPPES Registry Identity

NPI1659483865
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. KARL MARC KOENIGCredential: MD
Location Address1400 N IH 35, PAUL BASS CLINICAustin, TX 78701-1926
Mailing Address1400 Barbara Jordan Blvd, Ste 1.114Austin, TX 78723-3092
Phone(512) 495-5675
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2003
Enumeration DateSeptember 1, 2006
Last NPPES UpdateMay 2, 20172 updates tracked since enumeration
✔ NPI 1659483865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
Licenses✔ Licensed in TX · Q6953✔ Licensed in NH · 12999
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
1400 N IH 35, Austin, TX 78701
Open in Google Maps ↗

Other Identifiers 5

Medicaid30206851NH
Medicare PINVN415604NH
Medicare UPINI68541
Medicaid1013235VT
Medicare PINVN415603NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Karl Marc Koenig 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 ID4789683236
PECOS Enrollment IDI20160621000916
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 10

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.
70 services16 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.
53 services45 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.
43 services35 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.
28 services28 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.
26 services25 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%97 patients1/55-star benchmark: 85%
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.
93%242 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%75 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%209 patients1/55-star benchmark: 97%
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…
31%144 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: 75% · 20 patients
70%20 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
66%209 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
26%209 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
37%209 patients
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.

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.

RACHEL KATHERINE MOORE OTR/L, MSML
Occupational Therapist
1400 N IH 35
AUSTIN, TX 78701
Travis County (512) 978-8000
DR. SHILA AZODI M.D.
Student in an Organized Health Care Education/Training Program
1400 N IH 35, SUITE 301
AUSTIN, TX 78701
Travis County (512) 324-7359
BRANDI KAY ULRICH LCSW
Social Worker (Clinical)
1400 N IH 35
AUSTIN, TX 78701
Travis County (512) 978-8130
DR. SANJAY KUMAR SHARMA M.D.
Plastic Surgery (Surgery of the Hand)
1400 N IH 35, SUITE 320
AUSTIN, TX 78701
Travis County (512) 324-8320
DR. CHRISTIAN JONATHAN WOWER DPM
Podiatrist (Foot & Ankle Surgery)
1400 N IH 35
AUSTIN, TX 78701
Travis County (512) 978-8130
MELISSA NAJARIAN OT
Occupational Therapist
1400 N IH 35, SUITE 320
AUSTIN, TX 78701
Travis County (512) 324-8320
KRISTIN WONG
Physical Medicine & Rehabilitation
1400 N IH 35, SUITE 2.230
AUSTIN, TX 78701
Travis County (512) 324-7131
PROF. LINDSAY HICKMAN P.A.
Physician Assistant (Surgical)
1400 N IH 35, SUITE 320
AUSTIN, TX 78701
Travis County (512) 324-8320

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 Koenig's NPI number?

The NPI number for Karl Koenig is 1659483865. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Karl Koenig located?

Karl Koenig practices at 1400 N Ih 35 Paul Bass Clinic, Austin, TX 78701. The listed phone number is (512) 495-5675.

What is Karl Koenig's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Karl Koenig enrolled in Medicare?

Yes. Karl Koenig 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 Koenig accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Karl Koenig 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 Koenig affiliated with any hospitals?

According to CMS data, Karl Koenig is affiliated with Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Karl Koenig was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.