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KARL ASTAPHAN MD
NPI 1891897492
Family Medicine in Alcoa, TN

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
308 FOUNTAIN VIEW CIR, ALCOA, TN 37701(865) 672-5290(865) 379-6218 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2026, Jul 9, 2025, May 4, 2022 (3 updates tracked since 2022).

About Karl Astaphan Md NPPES

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

KARL ASTAPHAN MD (NPI 1891897492) is an individual family medicine provider in Alcoa, Tennessee, licensed in Tennessee (MD70161) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Univ Of Western Ontario Schulich School Of Med (1989).

NPPES Registry Identity

NPI1891897492
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARL ASTAPHANCredential: MD
Location Address308 FOUNTAIN VIEW CIRAlcoa, TN 37701-1945
Mailing Address308 Fountain View CirAlcoa, TN 37701-1945 · (865) 672-5290 · Fax (865) 379-6218
Phone(865) 672-5290
Fax(865) 379-6218
Sole ProprietorNo
Medical School CMSUniv Of Western Ontario Schulich School Of MedGraduated 1989
Enumeration DateSeptember 2, 2006
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1891897492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD70161
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
308 FOUNTAIN VIEW CIR, Alcoa, TN 37701
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Other Identifiers 1

MedicaidQ107814TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Karl Astaphan 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 ID7214981257
PECOS Enrollment IDI20251125003872
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 Astaphan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knoxville Hma Physician Management, LLC
18 mi
Pulmonary Disease
4711 CENTERLINE DR STE 100
Knoxville, TN 37917
  • Reassigned Medicare billing, Tennessee enrollment
  • 147 clinicians in this Medicare group
NPI 1629356969 (865) 647-3260
Community Health Centers Of The Rutland Region, Inc.
777 mi
Family Medicine
278 VT ROUTE 149
West Pawlet, VT 05775
NPI 1104870922 (802) 645-0580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37701 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES

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

HUMA SARWAR KHAN MD
Internal Medicine
308 FOUNTAIN VIEW CIR
ALCOA, TN 37701
Blount County (865) 672-5290

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 Astaphan's NPI number?

The NPI number for Karl Astaphan is 1891897492. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Karl Astaphan located?

Karl Astaphan practices at 308 Fountain View Cir, Alcoa, TN 37701. The listed phone number is (865) 672-5290.

What is Karl Astaphan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karl Astaphan enrolled in Medicare?

Yes. Karl Astaphan 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 Astaphan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Astaphan reassigns Medicare benefits to 2 organizations: Knoxville Hma Physician Management, LLC (Knoxville, TN) and Community Health Centers Of The Rutland Region, Inc. (West Pawlet, VT). 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 Astaphan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Astaphan accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Karl Astaphan 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 Karl Astaphan affiliated with any hospitals?

According to CMS data, Karl Astaphan is affiliated with Blount Memorial Hospital and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Karl Astaphan was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.