BORIS I KARANFILOV MD
NPI 1740244482
Otolaryngology in Dublin, OH

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
91.88/100
CMS Quality Rating
5378 AVERY RD, DUBLIN, OH 43016(614) 771-9871(614) 771-9877 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boris I Karanfilov Md NPPES

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

BORIS I KARANFILOV MD (NPI 1740244482) is an individual otolaryngology provider in Dublin, Ohio, licensed in Ohio (35076125) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio State University College Of Medicine (1997).

NPPES Registry Identity

NPI1740244482
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBORIS I KARANFILOVCredential: MD
Location Address5378 AVERY RDDublin, OH 43016-6933
Mailing Address5378 Avery RdDublin, OH 43016-6933 · (614) 771-9871 · Fax (614) 771-9877
Fax(614) 771-9877
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1997
Enumeration DateApril 12, 2006
Last NPPES UpdateMarch 3, 2008
NPI 1740244482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OH · 35076125
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5378 AVERY RD, Dublin, OH 43016

Other Identifiers 7

Medicare ID-Type UnspecifiedKA4052432OH
Other7720361OH · Aetna
Other1001216OH · Uhc
Medicaid2250988OH
Other106588OH · Nationwide
Other000000317268OH · Athem
Medicare UPINH38721

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

Boris I Karanfilov 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 ID8022037019
PECOS Enrollment IDI20101110001196
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 13

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
305 services185 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.
198 services127 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.
151 services105 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.
41 services41 patients
Ct guidance for needle or tube localization 77011
CT guidance for needle or tube localization is a procedure where a CT scan is used to accurately position a needle or tube within the body. It helps in diagnosing or treating conditions by ensuring precise placement for procedures such as biopsies or drainages.
39 services37 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
37 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43016 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

91.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.24
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
97%35 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
14%417 patients4/55-star benchmark: 100%
Advance Care Plan
0%493 patients1/55-star benchmark: 100%
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
24%937 patients2/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
69%2,377 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 538 patients
Patients screened: 99% · 538 patients
8%26 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%1,458 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
93%45 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
4 suppliers13 claims810 services$0.69 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$21.26 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.

Audiologist
5378 AVERY RD
DUBLIN, OH 43016
Nurse Practitioner
5378 AVERY RD
DUBLIN, OH 43016
Audiologist
5378 AVERY RD, OHIO SINUS/DUBLIN ENT
DUBLIN, OH 43016
Otolaryngology (Plastic Surgery within the Head & Neck)
5378 AVERY RD
DUBLIN, OH 43016
Specialist
5378 AVERY RD
DUBLIN, OH 43016

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 Boris Karanfilov's NPI number?

The NPI number for Boris Karanfilov is 1740244482. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Boris Karanfilov located?

Boris Karanfilov practices at 5378 Avery Rd, Dublin, OH 43016. The listed phone number is (614) 771-9871.

What is Boris Karanfilov's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Boris Karanfilov enrolled in Medicare?

Yes. Boris Karanfilov 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 Boris Karanfilov accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and UnitedHealthcare list Boris Karanfilov 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 Boris Karanfilov affiliated with any hospitals?

According to CMS data, Boris Karanfilov is affiliated with Riverside Methodist Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Boris Karanfilov was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.