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DR. EDWARD MATTHEW KARL M.D.
NPI 1821055260
Psychiatry & Neurology - Psychiatry in Franklin, TN

Active since April 28, 2006PECOS Enrolled
96.44/100
CMS Quality Rating
2010 QUAIL HOLLOW CIR, FRANKLIN, TN 37067(615) 807-4025(615) 807-4022 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edward Matthew Karl M.d. NPPES

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

DR. EDWARD MATTHEW KARL M.D. (NPI 1821055260) is an individual psychiatry provider in Franklin, Tennessee, licensed in Tennessee (16541) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821055260
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. EDWARD MATTHEW KARLCredential: M.D.
Location Address2010 QUAIL HOLLOW CIRFranklin, TN 37067-5967
Mailing Address2010 Quail Hollow CirFranklin, TN 37067-5967 · (615) 807-4025 · Fax (615) 807-4022
Phone(615) 807-4025
Fax(615) 807-4022
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateNovember 2, 2009
✔ NPI 1821055260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TN · 16541
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2010 QUAIL HOLLOW CIR, Franklin, TN 37067
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Other Identifiers 4

Other4234067TN · Bcbs
Medicare PIN3042165TN
Medicaid30421602TN
Medicare PIN30421602TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Matthew Karl M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Karl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rolling Hills Hospital LLC
0.1 mi
Psychiatry
2014 QUAIL HOLLOW CIR
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 29 clinicians in this Medicare group
NPI 1922240688 (615) 628-5700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
274 services71 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
61 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

96.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.88
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

DR. ROBERT A JACK M.D.
Psychiatry & Neurology (Psychiatry)
2010 QUAIL HOLLOW CIR
FRANKLIN, TN 37067
Williamson County (615) 807-4020
DR. MICHAEL JUDE FERRI M.D.
Psychiatry & Neurology (Psychiatry)
2010 QUAIL HOLLOW CIR
FRANKLIN, TN 37067
Williamson County (615) 807-4032
PATH PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
2010 QUAIL HOLLOW CIR
FRANKLIN, TN 37067
Williamson County (615) 807-4020
DR. JERRY MICHAEL MCGUIRE PHARMD
Pharmacist (Psychiatric)
2010 QUAIL HOLLOW CIR
FRANKLIN, TN 37067
Williamson County (314) 705-1639
SRICHARAN MOTURI MD
Psychiatry & Neurology (Psychiatry)
2010 QUAIL HOLLOW CIR
FRANKLIN, TN 37067
Williamson County (615) 807-4024
CAYLA BUSUITO
Nurse Practitioner (Psychiatric/Mental Health)
2010 QUAIL HOLLOW CIR
FRANKLIN, TN 37067
Williamson County (615) 326-9918
BRIAN IPOCK PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2010 QUAIL HOLLOW CIR
FRANKLIN, TN 37067
Williamson County (615) 807-4020
CATHERINE LUCAS LMSW
Social Worker
2010 QUAIL HOLLOW CIR
FRANKLIN, TN 37067
Williamson County (615) 628-5714

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 Edward Karl's NPI number?

The NPI number for Edward Karl is 1821055260. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Edward Karl located?

Edward Karl practices at 2010 Quail Hollow Cir, Franklin, TN 37067. The listed phone number is (615) 807-4025.

What is Edward Karl's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Edward Karl enrolled in Medicare?

Yes. Edward Karl is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Karl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Karl reassigns Medicare benefits to Rolling Hills Hospital LLC (Franklin, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Karl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Karl accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Edward Karl 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 Edward Karl was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.