PAWAN KARKI MD
NPI 1942973821
Emergency Medicine in Chestertown, MD

Active since July 27, 2021PECOS EnrolledAccepts Medicare Assignment
100 BROWN ST, CHESTERTOWN, MD 21620(410) 778-3300 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2024, Jul 27, 2021 (2 updates tracked since 2021).

About Pawan Karki Md NPPES

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

PAWAN KARKI MD (NPI 1942973821) is an individual emergency medicine provider in Chestertown, Maryland, licensed in Maryland (D0098951) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Ctr At Chestertown, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942973821
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePAWAN KARKICredential: MD
Location Address100 BROWN STChestertown, MD 21620-1435
Mailing Address100 Brown StChestertown, MD 21620-1435 · (540) 512-0188
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 27, 2021
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1942973821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MD · D0098951
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 BROWN ST, Chestertown, MD 21620

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

Pawan Karki 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 ID6103267778
PECOS Enrollment IDI20240514001242
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 Pawan Karki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
100 BROWN STREET
Chestertown, MD 21620
  • Reassigned Medicare billing, Maryland enrollment
  • 172 clinicians in this Medicare group
Emergency Medicine
100 BROWN ST
Chestertown, MD 21620
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • 729 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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
155 services146 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
65 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
43 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services30 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210030
Location100 Brown StreetChestertown, MD 21620 · Kent County
Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21620 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 20

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 BROWN ST
CHESTERTOWN, MD 21620
Pathology (Anatomic Pathology & Clinical Pathology)
100 BROWN ST
CHESTERTOWN, MD 21620
Internal Medicine (Nephrology)
100 BROWN ST
CHESTERTOWN, MD 21620
Emergency Medicine
100 BROWN ST
CHESTERTOWN, MD 21620
Radiology (Diagnostic Radiology)
100 BROWN ST
CHESTERTOWN, MD 21620
Emergency Medicine (Emergency Medical Services)
100 BROWN ST
CHESTERTOWN, MD 21620
Registered Nurse (Registered Nurse First Assistant)
100 BROWN ST
CHESTERTOWN, MD 21620
Clinic/Center
100 BROWN ST
CHESTERTOWN, MD 21620

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 Pawan Karki's NPI number?

The NPI number for Pawan Karki is 1942973821. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Pawan Karki located?

Pawan Karki practices at 100 Brown St, Chestertown, MD 21620. The listed phone number is (410) 778-3300.

What is Pawan Karki's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Pawan Karki enrolled in Medicare?

Yes. Pawan Karki 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 Pawan Karki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pawan Karki reassigns Medicare benefits to 2 organizations: Chester River Hospital Center (Chestertown, MD) and Emergency Medicine Associates PA PC (Chestertown, MD). 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 Pawan Karki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pawan Karki affiliated with any hospitals?

According to CMS data, Pawan Karki is affiliated with University Of MD Shore Medical Ctr At Chestertown and University Of MD Shore Medical Center At Easton.

When was this NPI record last updated?

The NPPES record for Pawan Karki was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.