KAREN DEBRA HALPERT MD
NPI 1962794545
Family Medicine in Chapel Hill, NC

Active since May 13, 2011PECOS EnrolledAccepts Medicare Assignment
590 MANNING DR, DEPARTMENT FAMILY MEDICINE, CHAPEL HILL, NC 27599(919) 966-0210(919) 966-6126 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Debra Halpert Md NPPES

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

KAREN DEBRA HALPERT MD (NPI 1962794545) is an individual family medicine provider in Chapel Hill, North Carolina, licensed in North Carolina (2015-00904) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962794545
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN DEBRA HALPERTCredential: MD
Location Address590 MANNING DR, DEPARTMENT FAMILY MEDICINEChapel Hill, NC 27599-6119
Mailing Address590 Manning Dr, Department Family MedicineChapel Hill, NC 27599-6119 · (919) 966-0210 · Fax (919) 966-6126
Fax(919) 966-6126
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 13, 2011
Last NPPES UpdateMay 27, 2015
NPI 1962794545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NC · 2015-00904 Licensed in MA · 258499
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.
590 MANNING DR, Chapel Hill, NC 27599

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

Karen Debra Halpert 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 ID4587983051
PECOS Enrollment IDI20151023001928
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 8

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.

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.
173 services107 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.
30 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services16 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.
17 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$16.45 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier14 claims14 services$10.41 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$30.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$85.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR, CB 7586
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Preventive Medicine (Public Health & General Preventive Medicine)
590 MANNING DR
CHAPEL HILL, NC 27599
General Practice
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR
CHAPEL HILL, NC 27599

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 Karen Halpert's NPI number?

The NPI number for Karen Halpert is 1962794545. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Where is Karen Halpert located?

Karen Halpert practices at 590 Manning Dr Department Family Medicine, Chapel Hill, NC 27599. The listed phone number is (919) 966-0210.

What is Karen Halpert's specialty?

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

Is Karen Halpert enrolled in Medicare?

Yes. Karen Halpert 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 Karen Halpert accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Karen Halpert 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 Karen Halpert affiliated with any hospitals?

According to CMS data, Karen Halpert is affiliated with Unc Hospitals and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Karen Halpert was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.