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KARL C ELSER DO
NPI 1699737650
Family Medicine in Sebastian, FL

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
801 WELLNESS WAY STE 107, SEBASTIAN, FL 32958(772) 226-4200 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2020, May 1, 2018, Apr 13, 2018 (3 updates tracked since 2018).

About Karl C Elser Do NPPES

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

KARL C ELSER DO (NPI 1699737650) is an individual family medicine provider in Sebastian, Florida, licensed in Florida (OS14788) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Western University Of Health Sciences College Of Dental Med (2000).

NPPES Registry Identity

NPI1699737650
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARL C ELSERCredential: DO
Location Address801 WELLNESS WAY STE 107Sebastian, FL 32958-3783
Mailing Address801 Wellness Way Ste 107Sebastian, FL 32958-3783 · (772) 226-4200
Phone(772) 226-4200
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2000
Enumeration DateApril 5, 2006
Last NPPES UpdateSeptember 28, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1699737650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS14788✔ Licensed in MN · 44177
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.
801 WELLNESS WAY STE 107, Sebastian, FL 32958
Open in Google Maps ↗

Other Identifiers 1

OtherJB545ZFL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Karl C Elser Do 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 ID9931155728
PECOS Enrollment IDI20170916000127
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 4

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 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.
290 services271 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
122 services122 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.
77 services74 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32958 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

BRIELLE MARIE BUCKLEY PA
Physician Assistant
801 WELLNESS WAY STE 107
SEBASTIAN, FL 32958
Indian River County (772) 226-4200
MRS. KATHERINE E SKYPEK APRN
Nurse Practitioner (Family)
801 WELLNESS WAY STE 107
SEBASTIAN, FL 32958
Indian River County (772) 226-4200
INDIAN RIVER MEMORIAL HOSPITAL INC
General Practice
801 WELLNESS WAY STE 107
SEBASTIAN, FL 32958
Indian River County (772) 266-4200

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 Elser's NPI number?

The NPI number for Karl Elser is 1699737650. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Karl Elser located?

Karl Elser practices at 801 Wellness Way Ste 107, Sebastian, FL 32958. The listed phone number is (772) 226-4200.

What is Karl Elser's specialty?

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

Is Karl Elser enrolled in Medicare?

Yes. Karl Elser 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 Elser accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Karl Elser 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 Elser affiliated with any hospitals?

According to CMS data, Karl Elser is affiliated with Cleveland Clinic Martin North Hospital and Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Karl Elser was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.