KAREN ZEMPLENYI DDS, MD
NPI 1801289319
Dentist - Oral and Maxillofacial Surgery in Kirkland, WA

Active since March 07, 2015Opted out of Medicare · through Jul 27, 2027
12330 120TH AVE NE, KIRKLAND, WA 98034(425) 821-7979 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2021, Jul 7, 2021, Aug 1, 2018 (3 updates tracked since 2018).

About Karen Zemplenyi Dds, Md NPPES

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

KAREN ZEMPLENYI DDS, MD (NPI 1801289319) is an individual oral and maxillofacial surgery provider in Kirkland, Washington, licensed in Washington (DE61002648) and active in the NPI registry since March 2015. She has opted out of Medicare through July 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801289319
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameKAREN ZEMPLENYICredential: DDS, MD
Location Address12330 120TH AVE NEKirkland, WA 98034-6926
Mailing Address12330 120th Ave NeKirkland, WA 98034-6926
Sole ProprietorYes
Enumeration DateMarch 7, 2015
Last NPPES UpdateSeptember 29, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1801289319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in WA · DE61002648 Licensed in WA · MD61157248
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License MDRE.ML.60875753 (WA), 60555334 (WA)
Also ListedSurgeryTaxonomy 208600000X · License MD61157248 (WA)
12330 120TH AVE NE, Kirkland, WA 98034

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Karen Zemplenyi Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 27, 2021 through July 27, 2027.

Opt-Out Effective DateJuly 27, 2021
Opt-Out In Effect ThroughJuly 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES 4

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

Dentist (Oral and Maxillofacial Surgery)
12330 120TH AVE NE
KIRKLAND, WA 98034
Dentist (Oral and Maxillofacial Pathology)
12330 120TH AVE NE
KIRKLAND, WA 98034
Dentist (Oral and Maxillofacial Pathology)
12330 120TH AVE NE
KIRKLAND, WA 98034
Dentist (Oral and Maxillofacial Pathology)
12330 120TH AVE NE
KIRKLAND, WA 98034

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 Zemplenyi's NPI number?

The NPI number for Karen Zemplenyi is 1801289319. It was assigned to this individual provider in the NPPES registry on March 7, 2015.

Where is Karen Zemplenyi located?

Karen Zemplenyi practices at 12330 120th Ave NE, Kirkland, WA 98034. The listed phone number is (425) 821-7979.

What is Karen Zemplenyi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Karen Zemplenyi enrolled in Medicare?

No. Karen Zemplenyi has opted out of Medicare through July 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Karen Zemplenyi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 2 other insurers list Karen Zemplenyi 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 Zemplenyi was last updated on September 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.