KARINA MAE ARKUSH MD
NPI 1659690741
Psychiatry & Neurology - Neurology in Summit, WI

Active since May 27, 2010PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
36500 AURORA DR, SUMMIT, WI 53066(262) 434-1000 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2021, May 22, 2019, Apr 22, 2019 and 1 more (4 updates tracked since 2015).

About Karina Mae Arkush Md NPPES

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

KARINA MAE ARKUSH MD (NPI 1659690741) is an individual neurology provider in Summit, Wisconsin, licensed in Wisconsin (64065) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and maintains a secondary practice location in Winfield.

NPPES Registry Identity

NPI1659690741
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKARINA MAE ARKUSHCredential: MD
Location Address36500 AURORA DRSummit, WI 53066-4899
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 27, 2010
Last NPPES UpdateJanuary 19, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
NPI 1659690741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in WI · 64065 Licensed in IL · 036147778
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
36500 AURORA DR, Summit, WI 53066

Secondary Practice Location 1

Location 125 N Winfield Rd Ste 424Winfield, IL 60190-1222 · Phone (630) 933-4056 · Fax (630) 933-4057

Other Identifiers 1

Medicaid100046163WI

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

Karina Mae Arkush 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 ID840502449
PECOS Enrollment IDI20150710001294
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 8

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.
67 services53 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.
46 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services40 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
28 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Hospitalist
36500 AURORA DR
SUMMIT, WI 53066
Physician Assistant
36500 AURORA DR
SUMMIT, WI 53066
Preventive Medicine (Undersea and Hyperbaric Medicine)
36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066
Physical Therapist
36500 AURORA DR
SUMMIT, WI 53066
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Nurse Practitioner
36500 AURORA DR
SUMMIT, WI 53066
Emergency Medicine
36500 AURORA DR
SUMMIT, WI 53066

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 Karina Arkush's NPI number?

The NPI number for Karina Arkush is 1659690741. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Karina Arkush located?

Karina Arkush practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-1000.

What is Karina Arkush's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Karina Arkush enrolled in Medicare?

Yes. Karina Arkush 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 Karina Arkush accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Karina Arkush 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 Karina Arkush affiliated with any hospitals?

According to CMS data, Karina Arkush is affiliated with Aurora Medical Ctr Washington County, Aurora Memorial Hospital Burlington and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Karina Arkush was last updated on January 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.