DR. KARL G. HURSEY PHD
NPI 1881636355
Psychologist - Clinical in Harrisburg, PA

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2595 INTERSTATE DR, SUITE 103, HARRISBURG, PA 17110(800) 370-3651(866) 510-0020 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2022, Dec 15, 2021, Jan 22, 2019 (3 updates tracked since 2019).

About Dr. Karl G. Hursey Phd NPPES

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

DR. KARL G. HURSEY PHD (NPI 1881636355) is an individual clinical provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (PS015698) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1881636355
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KARL G. HURSEYCredential: PHD
Location Address2595 INTERSTATE DR, SUITE 103Harrisburg, PA 17110-9378
Mailing Address199 Zimmerman RdWaynesburg, PA 15370-3730 · (724) 949-0058
Fax(866) 510-0020
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJune 11, 2006
Last NPPES UpdateApril 5, 20223 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1881636355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS015698
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 584 (WV), PS015698 (PA)
2595 INTERSTATE DR, Harrisburg, PA 17110

Other Identifiers 2

Medicaid0164662000WV
Other276844Valueoptions Prov Num

Accepted 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. Karl G. Hursey Phd 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 ID4789684473
PECOS Enrollment IDI20070103000059
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 Reassignments

2

Medicare enrollment records show Karl Hursey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
600 N 2ND ST STE 401
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 66 clinicians in this Medicare group
Family Medicine
177 MIDDLETOWN RD STE 1
White Hall, WV 26554
  • Reassigned Medicare billing, West Virginia enrollment
  • 441 clinicians in this Medicare group

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

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17110 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Psychiatric/Mental Health)
2595 INTERSTATE DR
HARRISBURG, PA 17110
Nurse Practitioner (Psychiatric/Mental Health)
2595 INTERSTATE DR, SUITE 103
HARRISBURG, PA 17110
Psychologist
2595 INTERSTATE DR, SUITE 103
HARRISBURG, PA 17110
Psychiatry & Neurology (Psychiatry)
2595 INTERSTATE DR, SUITE 103
HARRISBURG, PA 17110
Psychologist (Clinical)
2595 INTERSTATE DR, SUITE 103
HARRISBURG, PA 17110
Nurse Practitioner (Psychiatric/Mental Health)
2595 INTERSTATE DR, SUITE 103
HARRISBURG, PA 17110
Psychologist (Clinical)
2595 INTERSTATE DR, SUITE 103
HARRISBURG, PA 17110
Psychologist (Clinical)
2595 INTERSTATE DR, STE 103
HARRISBURG, PA 17110

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 Hursey's NPI number?

The NPI number for Karl Hursey is 1881636355. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Karl Hursey located?

Karl Hursey practices at 2595 Interstate Dr Suite 103, Harrisburg, PA 17110. The listed phone number is (800) 370-3651.

What is Karl Hursey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Karl Hursey enrolled in Medicare?

Yes. Karl Hursey 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 organizations bill Medicare for Karl Hursey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Hursey reassigns Medicare benefits to 2 organizations: Meditelecare Of Pennsylvania LLC (Harrisburg, PA) and United Hospital Center, Inc. (White Hall, WV). Each 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 Karl Hursey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Hursey accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Karl Hursey 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.

When was this NPI record last updated?

The NPPES record for Karl Hursey was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.