DR. KARINA A GONZALEZ OTARULA MD
NPI 1861981938
Psychiatry & Neurology - Epilepsy in Sioux Falls, SD

Q: What is Karina Gonzalez Otarula's NPI number?

The NPI number for Karina Gonzalez Otarula is 1861981938. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Q: What is Karina Gonzalez Otarula's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment

76.69/100

CMS Quality Rating

1210 W 18TH ST STE 100, SIOUX FALLS, SD 57104(605) 312-8500 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2024, May 4, 2018 (2 updates tracked since 2018).

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About Dr. Karina A Gonzalez Otarula Md NPPES

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

DR. KARINA A GONZALEZ OTARULA MD (NPI 1861981938) is an individual epilepsy provider in Sioux Falls, South Dakota, licensed in South Dakota (13572) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1861981938

Entity TypeIndividualFemale

Primary Taxonomy2084E0001X

Provider Legal NameDR. KARINA A GONZALEZ OTARULACredential: MD

Location Address1210 W 18TH ST STE 100Sioux Falls, SD 57104-4650

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 312-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 4, 2018

Last NPPES UpdateJune 11, 20242 updates tracked since enumeration

NPPES CertifiedJune 11, 2024

✔ NPI 1861981938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians

Taxonomy Code2084E0001X

License✔ Licensed in SD · 13572

Definition

Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License R-11102 (IA)

1210 W 18TH ST STE 100, Sioux Falls, SD 57104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Security Health Plan.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

Dr. Karina A Gonzalez Otarula 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 ID4385991264

PECOS Enrollment IDI20230110000865

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 5

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.

188 services127 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.

24 services23 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 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

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240022

Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County

Emergency services Birthing friendly

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241371

Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County

Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431336

Location20 South Plum StreetVermillion, SD 57069 · Clay County

Emergency services

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.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

Other Providers at the Same Location NPPES 20

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

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