MR. KARL GAAL MD
NPI 1710943543
Pathology - Hematology in Duarte, CA

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
99.12/100
CMS Quality Rating
1500 E DUARTE RD, DUARTE, CA 91010(626) 359-8111 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2020, Mar 8, 2018 (2 updates tracked since 2018).

About Mr. Karl Gaal Md NPPES

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

MR. KARL GAAL MD (NPI 1710943543) is an individual hematology provider in Duarte, California, licensed in California (A60183) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1994).

NPPES Registry Identity

NPI1710943543
Entity TypeIndividualMale
Primary Taxonomy207ZH0000X
Provider Legal NameMR. KARL GAALCredential: MD
Location Address1500 E DUARTE RDDuarte, CA 91010
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185 · (626) 775-3514 · Fax (626) 218-5310
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1994
Enumeration DateApril 21, 2006
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
NPI 1710943543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZH0000X
License Licensed in CA · A60183
Definition
A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License A60183 (CA)
1500 E DUARTE RD, Duarte, CA 91010

Other Identifiers 1

Medicaid00A601830CA

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

Mr. Karl Gaal 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 ID9032390646
PECOS Enrollment IDI20110301000997
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 20

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
1,020 services189 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
617 services378 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
426 services204 patients
Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
302 services224 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
235 services200 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
229 services201 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91010 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

99.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.23
Promoting Interoperability100
Improvement Activities40

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 (Medical Oncology)
1500 E DUARTE RD
DUARTE, CA 91010
Pathology (Hematology)
1500 E DUARTE RD
DUARTE, CA 91010
Pediatrics (Pediatric Hematology-Oncology)
1500 E DUARTE RD
DUARTE, CA 91010
Psychologist
1500 E DUARTE RD
DUARTE, CA 91010
Family Medicine (Hospice and Palliative Medicine)
1500 E DUARTE RD, DEPARTMENT OF SUPPORTIVE CARE
DUARTE, CA 91010
Physician Assistant
1500 E DUARTE RD
DUARTE, CA 91010
Psychologist (Clinical)
1500 E DUARTE RD
DUARTE, CA 91010
Anesthesiology
1500 E DUARTE RD
DUARTE, CA 91010

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 Gaal's NPI number?

The NPI number for Karl Gaal is 1710943543. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Karl Gaal located?

Karl Gaal practices at 1500 E Duarte Rd, Duarte, CA 91010. The listed phone number is (626) 359-8111.

What is Karl Gaal's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Is Karl Gaal enrolled in Medicare?

Yes. Karl Gaal 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.

When was this NPI record last updated?

The NPPES record for Karl Gaal was last updated on December 14, 2020. 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.