DR. NEEL K KARNE MD
NPI 1871728014
Surgery in Beloit, WI

Q: What is Neel Karne's NPI number?

The NPI number for Neel Karne is 1871728014. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Q: What is Neel Karne'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 Neel Karne was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 18, 2009PECOS EnrolledAccepts Medicare Assignment

73.05/100

CMS Quality Rating

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511(608) 364-2200(608) 363-7395 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Neel K Karne Md NPPES

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

DR. NEEL K KARNE MD (NPI 1871728014) is an individual surgery provider in Beloit, Wisconsin, licensed in Wisconsin (57308-20) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of West Virginia University School Of Medicine (2003).

NPPES Registry Identity

NPI1871728014

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. NEEL K KARNECredential: MD

Location Address1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INCBeloit, WI 53511-1842

Mailing Address1905 E. Huebbe Parkway, Beloit Health System IncBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 363-7395

Phone(608) 364-2200

Fax(608) 363-7395

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2003

Enumeration DateMay 18, 2009

Last NPPES UpdateAugust 15, 2012

✔ NPI 1871728014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in WI · 57308-20✔ Licensed in IL · 036-130250

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.

1905 E. HUEBBE PARKWAY, Beloit, WI 53511

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Other Identifiers 1

Medicaid1871728014WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW 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 and accepts Medicare assignment

Dr. Neel K Karne 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 ID8325203888

PECOS Enrollment IDI20120706000530, I20120719000053

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 Neel Karne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beloit Health System Inc

Same address

General Practice

1905 E HUEBBE PKWY
Beloit, WI 53511

Reassigned Medicare billing, Wisconsin and Illinois enrollments
Also billed through NPI 1841485984 (Illinois)
194 clinicians in this Medicare group

NPI 1679616361 (086) 364-2200

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 11

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.

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.

56 services56 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.

54 services41 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.

54 services25 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.

29 services25 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.

19 services19 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.

15 services13 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.

15 services15 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

13 services13 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.

13 services13 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520100

Location1969 W Hart RdBeloit, WI 53511 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

73.05/100

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

Scored as part of a group practice

Quality

58.79

Promoting Interoperability

100

Improvement Activities

Cost

51.38

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.

VIJAYA SOMARAJU M.D.

Internal Medicine (Infectious Disease)

1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511

Rock County (608) 364-2240

STEVEN S. YANG M.D.

Internal Medicine (Gastroenterology)

1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-1460

WILLIAM M FITZGERALD II MD

Internal Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIA M. POPLAWSKA GOETZEN MD

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2410

DR. JACK-KY WANG MD

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC
BELOIT, WI 53511

Rock County (608) 364-2410

ALAN J REHBEIN OD

Optometrist

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIA E TAVERAS MD

Internal Medicine (Cardiovascular Disease)

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2400

DR. CHRISTEL TECARRO MD.

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2240

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 Neel Karne's NPI number?

The NPI number for Neel Karne is 1871728014. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Neel Karne located?

Neel Karne practices at 1905 E. Huebbe Parkway Beloit Health System Inc, Beloit, WI 53511. The listed phone number is (608) 364-2200.

What is Neel Karne's specialty?

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

Is Neel Karne enrolled in Medicare?

Yes. Neel Karne 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.

Which organization bills Medicare for Neel Karne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neel Karne reassigns Medicare benefits to Beloit Health System Inc (Beloit, WI). 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 Neel Karne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neel Karne accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Neel Karne 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 Neel Karne affiliated with any hospitals?

According to CMS data, Neel Karne is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Neel Karne was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.