DR. KARL P RIGGLE MD
NPI 1831114511
Surgery in Hagerstown, MD

Q: What is Karl Riggle's NPI number?

The NPI number for Karl Riggle is 1831114511. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Karl Riggle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Karl Riggle was last updated on April 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment

1110 PROFESSIONAL CT, STE 101, HAGERSTOWN, MD 21740(240) 513-4601(240) 513-4602 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Karl P Riggle Md NPPES

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

DR. KARL P RIGGLE MD (NPI 1831114511) is an individual surgery provider in Hagerstown, Maryland, licensed in Maryland (D0038764) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1983).

NPPES Registry Identity

NPI1831114511

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. KARL P RIGGLECredential: MD

Location Address1110 PROFESSIONAL CT, STE 101Hagerstown, MD 21740-5937

Mailing Address1110 Professional Ct, Ste 101Hagerstown, MD 21740-5937 · (301) 714-4335 · Fax (301) 714-4334

Phone(240) 513-4601

Fax(240) 513-4602

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1983

Enumeration DateJuly 13, 2006

Last NPPES UpdateApril 24, 2018

✔ NPI 1831114511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in MD · D0038764✔ Licensed in PA · MD042103L

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1110 PROFESSIONAL CT, Hagerstown, MD 21740

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Other Identifiers 2

Medicaid0012196800003PA

Medicaid54499100MD

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 P Riggle 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 ID7416845730

PECOS Enrollment IDI20040309000115, I20040512000408

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 21

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 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.

178 services123 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

81 services57 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

72 services72 patients

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.

65 services32 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.

59 services56 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

49 services44 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

38 services27 patients

Removal of blood clot from hemodialysis graft 36831

The removal of a blood clot from a hemodialysis graft is a procedure to ensure smooth blood flow for dialysis. A special catheter is inserted into the graft to dissolve and remove the clot. This helps keep the graft open and functioning properly for dialysis treatments.

35 services20 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

30 services30 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

28 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

28 services28 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

27 services26 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

27 services27 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

24 services22 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist 36903

This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.

23 services18 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

22 services19 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

21 services19 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

19 services19 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

15 services15 patients

Creation of artery-vein connection using tube graft for hemodialysis 36830

This procedure involves connecting an artery to a vein using a tube graft. It's typically done for hemodialysis, a treatment for kidney disease. The connection allows blood to flow from the artery into the graft, then into the vein, and back to your body.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210001

Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County

Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391303

Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

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.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers13 claims104 services$2.50 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

4 suppliers20 claims360 services$5.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

LANORVELL ROBERTSON CRNA

Nurse Anesthetist, Certified Registered

1110 PROFESSIONAL CT
HAGERSTOWN, MD 21740

Washington County (240) 420-5559

SLEEPMED THERAPIES, INC.

Durable Medical Equipment & Medical Supplies

1110 PROFESSIONAL CT, SUITE 103-B
HAGERSTOWN, MD 21740

Washington County (240) 420-2801

DR. SHARI LYNN HALL M.D.

Anesthesiology

1110 PROFESSIONAL CT
HAGERSTOWN, MD 21740

Washington County (240) 420-3786

MERITUS MEDICAL CENTER INC

Dietitian, Registered

1110 PROFESSIONAL CT, SUITE 201
HAGERSTOWN, MD 21740

Washington County (301) 714-4432

MEDICAL PRACTICES OF ANTIETAM LLC

Surgery

1110 PROFESSIONAL CT
HAGERSTOWN, MD 21740

Washington County (240) 420-5559

DIGITRACE CARE SERVICES, INC.

Clinic/Center (Sleep Disorder Diagnostic)

1110 PROFESSIONAL CT, SUITE 103-A
HAGERSTOWN, MD 21740

Washington County (978) 536-7400

MR. TIMOTHY ANDREW SANTANA CRNA

Nurse Anesthetist, Certified Registered

1110 PROFESSIONAL CT
HAGERSTOWN, MD 21740

Washington County (240) 420-5559

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 Riggle's NPI number?

The NPI number for Karl Riggle is 1831114511. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Karl Riggle located?

Karl Riggle practices at 1110 Professional Ct Ste 101, Hagerstown, MD 21740. The listed phone number is (240) 513-4601.

What is Karl Riggle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Karl Riggle enrolled in Medicare?

Yes. Karl Riggle 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 Riggle affiliated with any hospitals?

According to CMS data, Karl Riggle is affiliated with Meritus Medical Center and Fulton County Medical Center.

When was this NPI record last updated?

The NPPES record for Karl Riggle was last updated on April 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.