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Dr. Richard Henry Stephen Karpinski , MD

Surgery - Plastic and Reconstructive Surgery • Castleton, NY

Active NPI 1316947237 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1547 Columbia Tpke
Castleton, NY 120339543

Call 5184794156 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1547 Columbia Tpke

Castleton, NY 120339543

Telephone 5184794156
Fax 5184793794
Organization at the Same NPPES Address or Phone
Upstate Dermatology, Pc Facility NPI 1609826163

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Harvard Medical School

Graduation Year

1971

Medicare patients

50 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $10,351 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $8,247 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

55 years (graduated 1971)

CMS Doctors and Clinicians data list 1971 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Karpinski has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Karpinski as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Castleton and New York

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in New York (2024, 75 clinicians with data). Median for this group: 126. Middle half: 39 to 417.

Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Castleton have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in New York (2024, 75 clinicians with data). Median for this group: $19,441. Middle half: $4,678 to $76,219.

Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Castleton have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Surgery - Plastic and Reconstructive Surgery in New York (2024, 75 clinicians with data). Median for this group: $15,175. Middle half: $3,254 to $59,850.

Too few clinicians listed under Surgery - Plastic and Reconstructive Surgery in Castleton have Medicare Part B data for 2024 to compare.

1 active clinicians are listed under Surgery - Plastic and Reconstructive Surgery with a practice address in Castleton, NY (203 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm
11 11 $2500.00 $941.01

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

License # reported to NPPES NY 137883

A surgeon who specializes in plastic and reconstructive surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY

Medicare Enrollment ID

I20090608000204

Enrollment State Jurisdiction

NY

PECOS Control ID

5294885554

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Betsy Chavez Morales , NP

Nurse Practitioner - Family

NPI 1962247890

Nurse Practitioner

Caitlin Cook , PA

Physician Assistant

NPI 1184029175

Physician Assistant

NPI 1316936750

MSNNP

Michael Dulay , MS, FNP-C

Nurse Practitioner - Family

NPI 1528494317

Master of Science, Family Nurse Practitioner (Certified)

Anthony Dushane , PA-C

Physician Assistant

NPI 1487316121

Physician Assistant (Certified)

NPI 1396734513

MDMPH

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
📍
Practice Location (Initial Record) January 10, 2013

Registered at 1547 COLUMBIA TPKE, CASTLETON, NY 120339543 (Tel: 5184794156)

📍
Business Mailing Address (Initial Record) January 10, 2013

Registered at 1547 COLUMBIA TPKE, CASTLETON, NY 120339543 (Tel: 5184794156)

👤
Provider Name / Credentials (Initial Record) January 10, 2013

Recorded as RICHARD KARPINSKI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2013

Surgery (license number reported to NPPES: NY 137883)

🔄
NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

⚠️
NPI Profile Deactivated March 21, 2006

NPPES lists this NPI as deactivated as of March 21, 2006; the reason is not published.

🟢
Initial NPI Registration & Enumeration July 22, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316947237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2005
Last Update: January 10, 2013
Sole Proprietor: Yes

Mailing Address

1547 Columbia Tpke

Castleton, NY 120339543

Phone: 5184794156

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.