DR. JOHN W KARL MD, MPH
NPI 1992071757
Surgery - Surgery of the Hand in Rutland, VT

Q: What is John Karl's NPI number?

The NPI number for John Karl is 1992071757. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is John Karl's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Q: When was this NPI record last updated?

The NPPES record for John Karl was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment

160 ALLEN ST, RUTLAND, VT 05701(802) 775-2937(802) 773-2204 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2020, Aug 7, 2018, Jul 30, 2018 (3 updates tracked since 2018).

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About Dr. John W Karl Md, Mph NPPES

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

DR. JOHN W KARL MD, MPH (NPI 1992071757) is an individual surgery of the hand provider in Rutland, Vermont, licensed in Vermont (042.0014038) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and maintains a secondary practice location in Rutland.

NPPES Registry Identity

NPI1992071757

Entity TypeIndividualMale

Primary Taxonomy2086S0105X

Provider Legal NameDR. JOHN W KARLCredential: MD, MPH

Location Address160 ALLEN STRutland, VT 05701-4560

Mailing Address160 Allen StRutland, VT 05701-4560 · (802) 775-2937 · Fax (802) 773-2204

Phone(802) 775-2937

Fax(802) 773-2204

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2011

Enumeration DateMarch 27, 2012

Last NPPES UpdateSeptember 15, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2020

✔ NPI 1992071757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2086S0105X

License✔ Licensed in VT · 042.0014038

Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

160 ALLEN ST, Rutland, VT 05701

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Secondary Practice Location 1

Location 1160 Allen StRutland, VT 05701-4560 · Phone (802) 775-7111 · Fax (802) 747-6207

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. John W Karl Md, Mph 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 ID5890047823

PECOS Enrollment IDI20181002003267

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 17

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.

278 services242 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

93 services67 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

90 services90 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

61 services56 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

58 services40 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

55 services42 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

41 services30 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

40 services38 patients

Incision or removal of spinal nerve 64772

Incision or removal of a spinal nerve is a surgical procedure aimed to relieve pain or improve function. This involves making a cut to access the spine and carefully removing or adjusting the nerve that's causing issues. It's performed under anesthesia and recovery time varies.

29 services13 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

28 services21 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.

28 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services23 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

23 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services17 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

13 services13 patients

Removal of connective tissue of palm and release of finger, first digit 26123

This procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.

12 services12 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470005

Location160 Allen StRutland, VT 05701 · Rutland County

Emergency services Birthing friendly

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470012

Location100 Hospital DriveBennington, VT 05201 · Bennington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05701 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

Most-billed visit code 99213

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

3 suppliers13 claims15 services$52.68 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.

RUTLAND HOSPITAL, INC.

General Acute Care Hospital

160 ALLEN ST
RUTLAND, VT 05701

Rutland County (802) 775-7111

RUTLAND HOSPITAL, INC

Pharmacy (Specialty Pharmacy)

160 ALLEN ST
RUTLAND, VT 05701

Rutland County (802) 775-7111

DR. JAMES W ROBERTS MD

Hospitalist

160 ALLEN ST
RUTLAND, VT 05701

Rutland County (802) 775-7111

DR. BENJAMIN JOSEPH MAHONEY DNP, APRN

Nurse Practitioner (Primary Care)

160 ALLEN ST
RUTLAND, VT 05701

Rutland County (802) 775-7111

MICHAEL T ZMURKO M.D.

Emergency Medicine

160 ALLEN ST
RUTLAND, VT 05701

Rutland County (802) 747-3602

MRS. KELLY C PARKER MS CCC SLP

Speech-Language Pathologist

160 ALLEN ST, SPEECH PATHOLOGY DEPARTMENT
RUTLAND, VT 05701

Rutland County (802) 747-1834

VALERIE CASSIDY RN

Registered Nurse

160 ALLEN ST
RUTLAND, VT 05701

Rutland County (802) 775-7111

MR. CHRISTOPHER JOSEPH ANDREWS APRN

Nurse Practitioner (Family)

160 ALLEN ST
RUTLAND, VT 05701

Rutland County (802) 775-7111

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 John Karl's NPI number?

The NPI number for John Karl is 1992071757. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is John Karl located?

John Karl practices at 160 Allen St, Rutland, VT 05701. The listed phone number is (802) 775-2937.

What is John Karl's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is John Karl enrolled in Medicare?

Yes. John Karl 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 John Karl accept?

Health plans from Anthem Blue Cross and Blue Shield list John Karl 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 John Karl affiliated with any hospitals?

According to CMS data, John Karl is affiliated with Rutland Regional Medical Center and Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for John Karl was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.