KAREN ANN FONG MD
NPI 1851396816
Internal Medicine in San Luis Obispo, CA

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
184 CASA ST, SAN LUIS OBISPO, CA 93405(805) 242-4455(805) 542-9589 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen Ann Fong Md NPPES

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

KAREN ANN FONG MD (NPI 1851396816) is an individual internal medicine provider in San Luis Obispo, California, licensed in California (G70251) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1989).

NPPES Registry Identity

NPI1851396816
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN ANN FONGCredential: MD
Location Address184 CASA STSan Luis Obispo, CA 93405-1804
Mailing Address184 Casa StSan Luis Obispo, CA 93405-1804 · (805) 242-4455 · Fax (805) 542-9589
Fax(805) 542-9589
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1989
Enumeration DateJune 16, 2005
Last NPPES UpdateNovember 22, 2019
NPI 1851396816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G70251
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License G070251 (CA)
184 CASA ST, San Luis Obispo, CA 93405

Other Identifiers 2

Other00G702510CA · Blue Shield
OtherG70251CA · B;ue Cross

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

Karen Ann Fong 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 ID5698731016
PECOS Enrollment IDI20100304000119
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 10

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 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.
363 services156 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
161 services21 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
143 services18 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.
124 services93 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
78 services78 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
71 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
Most-billed visit code 99214
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 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers26 claims36 services$6.30 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers37 claims37 services$35.85 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers15 claims29 services$1.50 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers17 claims17 services$80.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers18 claims45 services$32.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers15 claims90 services$18.28 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 7

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

Internal Medicine
184 CASA ST
SAN LUIS OBISPO, CA 93405
Internal Medicine
184 CASA ST
SAN LUIS OBISPO, CA 93405
Obstetrics & Gynecology (Gynecology)
184 CASA ST
SAN LUIS OBISPO, CA 93405
Nurse Practitioner (Obstetrics & Gynecology)
184 CASA ST
SAN LUIS OBISPO, CA 93405
Nurse Practitioner (Obstetrics & Gynecology)
184 CASA ST
SAN LUIS OBISPO, CA 93405
Obstetrics & Gynecology (Gynecology)
184 CASA ST
SAN LUIS OBISPO, CA 93405
Obstetrics & Gynecology (Gynecology)
184 CASA ST
SAN LUIS OBISPO, CA 93405

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 Fong's NPI number?

The NPI number for Karen Fong is 1851396816. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Karen Fong located?

Karen Fong practices at 184 Casa St, San Luis Obispo, CA 93405. The listed phone number is (805) 242-4455.

What is Karen Fong's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Fong enrolled in Medicare?

Yes. Karen Fong 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.

When was this NPI record last updated?

The NPPES record for Karen Fong was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.