KIMBERLY S KLAPCHAR DO
NPI 1831581032
Otolaryngology in Bellefontaine, OH

Active since February 24, 2015PECOS EnrolledAccepts Medicare Assignment
1134 N MAIN ST STE 3100, BELLEFONTAINE, OH 43311(937) 592-9799(937) 592-9789 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly S Klapchar Do NPPES

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

KIMBERLY S KLAPCHAR DO (NPI 1831581032) is an individual otolaryngology provider in Bellefontaine, Ohio, licensed in Ohio (34.014335) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Mary Rutan Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1831581032
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameKIMBERLY S KLAPCHARCredential: DO
Location Address1134 N MAIN ST STE 3100Bellefontaine, OH 43311-0017
Mailing Address1134 N Main St Ste 3100Bellefontaine, OH 43311-0017 · (937) 592-9799 · Fax (937) 592-9789
Fax(937) 592-9789
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015
Enumeration DateFebruary 24, 2015
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1831581032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OH · 34.014335
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.
1134 N MAIN ST STE 3100, Bellefontaine, OH 43311

Other Identifiers 1

Medicaid0405290OH

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

Kimberly S Klapchar 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 ID5890061428
PECOS Enrollment IDI20200710002734
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 7

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.
257 services161 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
162 services106 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.
105 services74 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.
69 services57 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
26 services21 patients
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433
This procedure, known as a Myringotomy with Tube Insertion, involves making a small incision in the eardrum to drain fluid and relieve pressure. A tiny tube is then placed in the eardrum to prevent future fluid buildup. It's done under local or topical anesthesia.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43311 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.

Other Providers at the Same Location NPPES 9

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

Audiologist
1134 N MAIN ST STE 3100
BELLEFONTAINE, OH 43311
Physician Assistant
1134 N MAIN ST STE 3100
BELLEFONTAINE, OH 43311
Otolaryngology
1134 N MAIN ST STE 3100
BELLEFONTAINE, OH 43311
Audiologist
1134 N MAIN ST STE 3100
BELLEFONTAINE, OH 43311
Physician Assistant
1134 N MAIN ST STE 3100
BELLEFONTAINE, OH 43311
Podiatrist
1134 N MAIN ST STE 3100
BELLEFONTAINE, OH 43311
Otolaryngology
1134 N MAIN ST STE 3100
BELLEFONTAINE, OH 43311
Orthopaedic Surgery
1134 N MAIN ST STE 3100
BELLEFONTAINE, OH 43311

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 Kimberly Klapchar's NPI number?

The NPI number for Kimberly Klapchar is 1831581032. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Kimberly Klapchar located?

Kimberly Klapchar practices at 1134 N Main St Ste 3100, Bellefontaine, OH 43311. The listed phone number is (937) 592-9799.

What is Kimberly Klapchar's specialty?

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

Is Kimberly Klapchar enrolled in Medicare?

Yes. Kimberly Klapchar 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 Kimberly Klapchar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 1 other insurer list Kimberly Klapchar 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 Kimberly Klapchar affiliated with any hospitals?

According to CMS data, Kimberly Klapchar is affiliated with Mary Rutan Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Klapchar was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.