DR. KARL H LAGALLY DO
NPI 1720035918
Family Medicine in Spotsylvania, VA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
9763 COURTHOUSE RD, SPOTSYLVANIA, VA 22553(540) 786-1200(540) 710-2752 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karl H Lagally Do NPPES

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

DR. KARL H LAGALLY DO (NPI 1720035918) is an individual family medicine provider in Spotsylvania, Virginia, licensed in Virginia (0102201773) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1720035918
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KARL H LAGALLYCredential: DO
Location Address9763 COURTHOUSE RDSpotsylvania, VA 22553-1915
Mailing Address9763 Courthouse RdSpotsylvania, VA 22553-1915 · (540) 786-1200 · Fax (540) 710-2752
Fax(540) 710-2752
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2006
Enumeration DateMay 31, 2006
Last NPPES UpdateFebruary 9, 2012
NPI 1720035918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0102201773
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.
9763 COURTHOUSE RD, Spotsylvania, VA 22553

Other Identifiers 8

Other183516VA · Anthem Svs & Healthkeeper
Other3803459VA · Cigna
Medicare ID-Type UnspecifiedP00265787VA · Palmetto Gba Railroad
Medicaid010187907VA
Medicare UPINI44418
Medicaid183516VA
Other313081VA · Southern Health
Medicare ID-Type Unspecified008943M21VA · Trailblazer Healthcare

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 H Lagally 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 ID6800813494
PECOS Enrollment IDI20051102000526
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 3

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.
173 services96 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services20 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.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22553 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims70 services$6.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims26 services$1.13 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 8

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

Family Medicine
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 22553
Nurse Practitioner (Family)
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 22553
Physician Assistant (Medical)
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 22553
Physician Assistant
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 22553
Physician Assistant (Medical)
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 22553
Physician Assistant (Medical)
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 22553
Physician Assistant
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 22553
Family Medicine
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 22553

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 Lagally's NPI number?

The NPI number for Karl Lagally is 1720035918. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Karl Lagally located?

Karl Lagally practices at 9763 Courthouse Rd, Spotsylvania, VA 22553. The listed phone number is (540) 786-1200.

What is Karl Lagally's specialty?

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

Is Karl Lagally enrolled in Medicare?

Yes. Karl Lagally 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.

Is Karl Lagally affiliated with any hospitals?

According to CMS data, Karl Lagally is affiliated with Mary Washington Hospital.

When was this NPI record last updated?

The NPPES record for Karl Lagally was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.