DR. KARL SETH HURST-WICKER M.D.
NPI 1962698654
Pain Medicine - Interventional Pain Medicine in Chandler, AZ

Active since September 17, 2007PECOS EnrolledAccepts Medicare Assignment
5590 W CHANDLER BLVD STE 3, CHANDLER, AZ 85226(602) 633-4334(888) 815-1389 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2022, Oct 10, 2022 (2 updates tracked since 2022).

About Dr. Karl Seth Hurst-wicker M.d. NPPES

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

DR. KARL SETH HURST-WICKER M.D. (NPI 1962698654) is an individual interventional pain medicine provider in Chandler, Arizona, licensed in Arizona (42472) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962698654
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. KARL SETH HURST-WICKERCredential: M.D.
Location Address5590 W CHANDLER BLVD STE 3Chandler, AZ 85226-3744
Mailing Address67 S Higley Rd Ste 103Gilbert, AZ 85296-1167 · (602) 633-4334 · Fax (888) 815-1389
Fax(888) 815-1389
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2005
Enumeration DateSeptember 17, 2007
Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1962698654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses Licensed in AZ · 42472 Licensed in WI · 53982
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 80862 (MN), 53982 (WI), 6351856-1205 (UT)
5590 W CHANDLER BLVD STE 3, Chandler, AZ 85226

Secondary Practice Locations 2

Location 14611 E Shea Blvd Ste 190Phoenix, AZ 85028-4259 · Phone (602) 633-4334 · Fax (888) 815-1389
Location 2400 E 3rd StDuluth, MN 55805-1951 · Phone (218) 786-8364

Accepted 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. Karl Seth Hurst-wicker M.d. 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 ID5496948267
PECOS Enrollment IDI20130926000528, I20251009002346, I20251023003812
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 30

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.

Injection, ropivacaine hydrochloride, 1 mg J2795
Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.
51,243 services197 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,838 services155 patients
Injection, propofol, 10 mg J2704
Propofol is a medication given via injection to help you relax or sleep during surgery or other medical procedures. The 10 mg dosage refers to the amount of medication you'll receive. It's administered by a healthcare professional and monitored closely for safety.
1,220 services47 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,015 services125 patients
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
840 services13 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.
730 services242 patients

Hospital Affiliations CMS Care Compare 3

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85226 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%533 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,054 patients4/55-star benchmark: 100%
Documentation of Signed Opioid Treatment Agreement
All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record
18%222 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
72%2,039 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
28%98 patients2/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%635 patients4/55-star benchmark: 100%
Opioid Therapy Follow-up Evaluation
All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record
69%94 patients3/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
81%154 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
94%1,046 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%939 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 326 patients
Patients tobacco: 10% · 39 patients
96%326 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
47%939 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%939 patients2/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 7% · 533 patients
22%533 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Physician Assistant
5590 W CHANDLER BLVD STE 3
CHANDLER, AZ 85226
Anesthesiology
5590 W CHANDLER BLVD STE 3
CHANDLER, AZ 85226
Pain Medicine (Interventional Pain Medicine)
5590 W CHANDLER BLVD STE 3
CHANDLER, AZ 85226
Physician Assistant
5590 W CHANDLER BLVD STE 3
CHANDLER, AZ 85226

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 Hurst-wicker's NPI number?

The NPI number for Karl Hurst-wicker is 1962698654. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Where is Karl Hurst-wicker located?

Karl Hurst-wicker practices at 5590 W Chandler Blvd Ste 3, Chandler, AZ 85226. The listed phone number is (602) 633-4334.

What is Karl Hurst-wicker's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Karl Hurst-wicker enrolled in Medicare?

Yes. Karl Hurst-wicker 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.

What insurance does Karl Hurst-wicker accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Karl Hurst-wicker 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 Hurst-wicker affiliated with any hospitals?

According to CMS data, Karl Hurst-wicker is affiliated with Hilo Medical Center, Essentia Health St Mary's Medical Center and Essentia Health Duluth.

When was this NPI record last updated?

The NPPES record for Karl Hurst-wicker was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.