Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARL KOIVISTO MD
NPI 1962931451
Emergency Medicine - Sports Medicine in Saint Cloud, MN

Q: What is Karl Koivisto's NPI number?

The NPI number for Karl Koivisto is 1962931451. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Karl Koivisto's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Q: When was this NPI record last updated?

The NPPES record for Karl Koivisto was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since June 08, 2017PECOS Enrolled

1900 CENTRACARE CIR STE 2650, SAINT CLOUD, MN 56303(320) 253-2663 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 22, 2026, Sep 18, 2026, Dec 12, 2024 and 5 more (8 updates tracked since 2017).

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About Karl Koivisto Md NPPES

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

KARL KOIVISTO MD (NPI 1962931451) is an individual sports medicine provider in Saint Cloud, Minnesota, licensed in Minnesota (67132) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of University Of Minnesota Medical School (2017).

NPPES Registry Identity

NPI1962931451

Entity TypeIndividualMale

Primary Taxonomy207PS0010X

Provider Legal NameKARL KOIVISTOCredential: MD

Location Address1900 CENTRACARE CIR STE 2650Saint Cloud, MN 56303-5000

Mailing Address1900 Centracare Cir Ste 2650Saint Cloud, MN 56303-5000

Phone(320) 253-2663

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2017

Enumeration DateJune 8, 2017

Last NPPES UpdateSeptember 22, 20268 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1962931451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PS0010X

License✔ Licensed in MN · 67132

Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

1900 CENTRACARE CIR STE 2650, Saint Cloud, MN 56303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Karl Koivisto 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 ID5496023459

PECOS Enrollment IDI20200806001118

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 4

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.

75 services72 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.

48 services46 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.

40 services37 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.

33 services30 patients

Hospital Affiliations CMS Care Compare 4

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Ely Bloomenson Community Hospital

Critical Access Hospitals · Ely, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241318

Location328 West Conan StreetEly, MN 55731 · St. Louis County

Emergency services

Centracare Health - Monticello

Critical Access Hospitals · Monticello, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241362

Location1013 Hart BoulevardMonticello, MN 55362 · Wright County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

EMILY LOU JOHNSON PA-C

Physician Assistant