Active NPI 1063412971 Individual Practitioner Female Practitioner

Dr. Karla Renee Scanlon , DPM

Podiatrist • Willimantic, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Karla Scanlon, DPM is a certified Podiatrist practicing in Willimantic, CT. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Scanlon delivers high-quality medical care to the local community at 162 MANSFIELD AVE.

Dr. Scanlon is affiliated with University Of Connecticut Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

162 Mansfield Ave

Willimantic, CT 062262061

Telephone 8604564250

Fax 8604563745

Associated Practice Facility / Clinic

🏢 The Foot Group, Llc Facility NPI 1710914379

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Willimantic, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 30.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Willimantic, CT (181 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Scanlon (35 Years) 35 Yrs

Willimantic Specialty Average (35.0 Years) 35.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	98	$175.00	$92.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$230.00	$116.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$340.00	$174.40
11042 Removal of skin and tissue, 20.0 sq cm or less	28	11	$690.00	$61.88
73630 X-ray of foot, minimum of 3 views	27	21	$76.11	$32.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$245.00	$133.83
11730 Simple separation of fingernail or toenail from nail bed, first nail	22	21	$515.45	$116.61
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	18	14	$10.00	$7.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	83	$155.00	$96.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$220.00	$120.11
73630 X-ray of foot, minimum of 3 views	40	30	$75.00	$37.98
11730 Simple separation of fingernail or toenail from nail bed, first nail	28	25	$350.00	$125.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$100.00	$60.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$220.00	$136.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$325.00	$177.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	80	$140.00	$98.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$205.00	$121.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	25	$85.00	$62.00
11730 Simple separation of fingernail or toenail from nail bed, first nail	21	19	$350.00	$129.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$205.00	$138.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$310.00	$180.85
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$145.00	$79.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	49	$140.00	$98.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$205.00	$119.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	25	$85.00	$61.16
73630 X-ray of foot, minimum of 3 views	33	27	$75.00	$38.29
11730 Simple separation of fingernail or toenail from nail bed, first nail	20	18	$350.00	$129.94
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$145.00	$79.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	80	57	$142.00	$50.34
99213 Established patient office or other outpatient visit, typically 15 minutes	78	64	$134.62	$82.21
11056 Removal of noncancer thickened skin growth, 2-4 growths	64	49	$181.25	$83.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	41	$84.13	$50.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$201.51	$116.14
11730 Simple separation of fingernail or toenail from nail bed, first nail	37	35	$334.32	$123.62
73630 X-ray of foot, minimum of 3 views	20	19	$75.00	$36.75
11719 Trimming of fingernails or toenails	19	16	$55.00	$10.24
11055 Removal of single thickened skin growth	17	14	$154.41	$70.86
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$145.00	$83.64
11720 Removal of fingernails or toenails, 1-5 nails	14	13	$105.36	$36.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	244	74	$100.00	$49.49
11056 Removal of noncancer thickened skin growth, 2-4 growths	233	76	$130.00	$72.34
99213 Established patient office or other outpatient visit, typically 15 minutes	200	122	$120.00	$78.96
11719 Trimming of fingernails or toenails	106	33	$55.00	$8.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$175.00	$114.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	68	$70.00	$48.38
11055 Removal of single thickened skin growth	86	31	$105.00	$61.91
73620 X-ray of foot, 2 views	51	43	$70.00	$29.68
11730 Simple separation of fingernail or toenail from nail bed, first nail	40	35	$205.00	$119.30
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$120.00	$82.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	21	$5.00	$1.58
20550 Injection into tendon or ligament	12	11	$150.00	$57.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	299	96	$100.00	$47.77
11056 Removal of noncancer thickened skin growth, 2-4 growths	276	89	$130.00	$62.02
99213 Established patient office or other outpatient visit, typically 15 minutes	255	146	$120.00	$76.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$175.00	$112.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	112	78	$70.00	$46.30
11719 Trimming of fingernails or toenails	100	37	$55.00	$8.27
11055 Removal of single thickened skin growth	81	31	$105.00	$51.61
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$120.00	$78.77
73620 X-ray of foot, 2 views	47	44	$70.00	$27.63
11730 Simple separation of fingernail or toenail from nail bed, first nail	43	38	$205.00	$112.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	22	17	$5.00	$1.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	474	157	$100.00	$45.50
11056 Removal of noncancer thickened skin growth, 2-4 growths	456	149	$130.00	$59.71
99213 Established patient office or other outpatient visit, typically 15 minutes	405	218	$120.00	$73.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$175.00	$108.89
11719 Trimming of fingernails or toenails	124	43	$55.00	$7.70
11730 Simple separation of fingernail or toenail from nail bed, first nail	102	82	$205.00	$107.28
73620 X-ray of foot, 2 views	80	76	$70.00	$26.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	64	$70.00	$44.14
11055 Removal of single thickened skin growth	65	31	$105.00	$48.98
97597 Removal of tissue from wound, 20.0 sq cm or less	55	14	$95.00	$77.28
11057 Removal of noncancer thickened skin growth, more than 4 growths	54	16	$165.00	$66.65
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$120.00	$75.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	24	$5.00	$1.81
20550 Injection into tendon or ligament	22	15	$150.00	$53.55
11732 Simple separation of fingernail or toenail from nail bed, each additional nail	12	11	$95.00	$32.15

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License CT 000656

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Hospital & Practice Group Affiliations

University Of Connecticut Health Center

1 Royce Cir, Storrs, CT 062682270

Phone: 8604879200

Secondary Practice Locations

1 Royce Cir

Storrs, CT 062682260

Phone: 8604879200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Michael Scanlon , DPM

Podiatrist - Foot Surgery

NPI 1447250352

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 30, 2019

Registered at 162 MANSFIELD AVE, WILLIMANTIC, CT 062262061 (Tel: 8604564250)

📍

Updated Business Mailing Address October 30, 2019

Registered at 162 MANSFIELD AVE, WILLIMANTIC, CT 062262061 (Tel: 8604564250)

✅

NPI Profile Active October 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2014

Registered at 300 HEBRON AVE, SUITE 211, GLASTONBURY, CT 060332176 (Tel: 8606573668)

📍

Updated Business Mailing Address October 07, 2014

Registered at 196 PARKWAY S, SUITE 304, WATERFORD, CT 063851234 (Tel: 8604427027)

👤

Provider Name / Credentials Updated October 07, 2014

Recorded as KARLA SCANLON, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2014

Podiatrist (License #000656 in CT)

🟢

Initial NPI Registration & Enumeration July 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063412971

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2005

Last Update: July 11, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

162 Mansfield Ave

Willimantic, CT 062262061

Phone: 8604564250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.