KAREN WHEELER M.D., PH.D.
NPI 1669738811
Urology in Tucson, AZ

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
2260 W ORANGE GROVE RD, TUCSON, AZ 85741(520) 795-5830(520) 885-7396 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Oct 1, 2024, May 19, 2023 and 3 more (6 updates tracked since 2019).

About Karen Wheeler M.d., Ph.d. NPPES

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

KAREN WHEELER M.D., PH.D. (NPI 1669738811) is an individual urology provider in Tucson, Arizona, licensed in Arizona (60736) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1669738811
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameKAREN WHEELERCredential: M.D., PH.D.
Location Address2260 W ORANGE GROVE RDTucson, AZ 85741-3117
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (520) 795-5830 · Fax (520) 885-4469
Fax(520) 885-7396
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateMarch 21, 20256 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1669738811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in AZ · 60736 Licensed in TX · R9557
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2260 W ORANGE GROVE RD, Tucson, AZ 85741

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 Wheeler M.d., Ph.d. 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 ID8628205499
PECOS Enrollment IDI20200623001997
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 30

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.

Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
884 services13 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.
346 services253 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
234 services183 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
138 services22 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
133 services96 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.
126 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85741 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers28 claims1,680 services$1.74 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers17 claims47 services$9.33 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers11 claims610 services$0.21 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2260 W ORANGE GROVE RD
TUCSON, AZ 85741
Urology
2260 W ORANGE GROVE RD
TUCSON, AZ 85741
Urology
2260 W ORANGE GROVE RD
TUCSON, AZ 85741
Physician Assistant
2260 W ORANGE GROVE RD
TUCSON, AZ 85741
Urology
2260 W ORANGE GROVE RD
TUCSON, AZ 85741

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 Wheeler's NPI number?

The NPI number for Karen Wheeler is 1669738811. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Karen Wheeler located?

Karen Wheeler practices at 2260 W Orange Grove Rd, Tucson, AZ 85741. The listed phone number is (520) 795-5830.

What is Karen Wheeler's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Karen Wheeler enrolled in Medicare?

Yes. Karen Wheeler 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 Wheeler accept?

Health plans from Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Texas list Karen Wheeler 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.

When was this NPI record last updated?

The NPPES record for Karen Wheeler was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.