DR. KAREN ANN GELPHMAN MD
NPI 1972565703
Family Medicine in Santa Rosa, CA

Q: What is Karen Gelphman's NPI number?

The NPI number for Karen Gelphman is 1972565703. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Karen Gelphman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Gelphman was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment

3883 AIRWAY DR STE 202, SANTA ROSA, CA 95403(707) 521-7777(707) 573-5426 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Mar 17, 2020, Nov 12, 2018 (3 updates tracked since 2018).

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About Dr. Karen Ann Gelphman Md NPPES

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

DR. KAREN ANN GELPHMAN MD (NPI 1972565703) is an individual family medicine provider in Santa Rosa, California, licensed in California (G78072) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of University Of Washington School Of Medicine (1992).

NPPES Registry Identity

NPI1972565703

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KAREN ANN GELPHMANCredential: MD

Location Address3883 AIRWAY DR STE 202Santa Rosa, CA 95403-1671

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (707) 521-7777 · Fax (707) 573-5426

Phone(707) 521-7777

Fax(707) 573-5426

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 1992

Enumeration DateApril 5, 2006

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedMarch 17, 2020

✔ NPI 1972565703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G78072

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.

3883 AIRWAY DR STE 202, Santa Rosa, CA 95403

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Secondary Practice Location 1

Location 1131 Stony Cir Ste 1600Santa Rosa, CA 95401-9520 · Phone (707) 541-7700 · Fax (707) 573-5415

Other Identifiers 1

OtherG78072CA · State Medical License

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. Karen Ann Gelphman 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 ID1759459118

PECOS Enrollment IDI20081013000141

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 2

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.

37 services33 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers14 claims28 services$5.73 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 17

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

SANTA ROSA COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))