Active NPI 1265456339 Individual Practitioner Female Practitioner

Dr. Karlene E Sinclair , MD

Surgery • Davenport, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Karlene Sinclair, MD is a certified Surgery practicing in Davenport, FL. With approximately 43 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1983, Dr. Sinclair delivers high-quality medical care to the local community at 131 WEBB DR.

Dr. Sinclair is affiliated with Florida Post Acute Care Clinicians Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of skin and tissue, 20.0 sq cm or less, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

131 Webb Dr
Suite B

Davenport, FL 338373921

Telephone 8634214407

Fax 8634222888

Associated Practice Facility / Clinic

🏢 Dr Raphael Lopez Llc Facility NPI 1962674234

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Davenport, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +15.6 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

9 Specialists

Practicing in Davenport, FL (2030 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sinclair (43 Years) 43 Yrs

Davenport Specialty Average (27.4 Years) 27.4 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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	504	145	$174.94	$74.42
11042 Removal of skin and tissue, 20.0 sq cm or less	455	139	$336.90	$55.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	387	190	$174.94	$74.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	353	118	$252.10	$107.68
11042 Removal of skin and tissue, 20.0 sq cm or less	311	88	$336.90	$116.38
97597 Removal of tissue from wound, 20.0 sq cm or less	292	61	$264.42	$98.46
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	273	141	$252.10	$107.69
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	248	62	$574.74	$155.94
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	242	68	$574.74	$231.61
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	182	182	$308.50	$133.57
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	165	80	$94.54	$40.25
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	129	72	$94.54	$40.21
17250 Application of chemical to stop tissue regrowth in wound	102	41	$230.66	$28.86
17250 Application of chemical to stop tissue regrowth in wound	79	25	$230.66	$74.20
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	62	14	$172.32	$57.10
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	54	54	$308.50	$133.33
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	47	19	$97.22	$26.10
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	31	16	$172.32	$74.78
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$185.40	$80.37
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	13	$357.52	$154.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	535	134	$177.04	$74.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	472	204	$176.90	$74.62
11042 Removal of skin and tissue, 20.0 sq cm or less	443	163	$340.26	$55.17
11042 Removal of skin and tissue, 20.0 sq cm or less	353	94	$339.88	$112.59
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	277	89	$581.80	$157.72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	247	104	$253.55	$106.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	240	122	$253.50	$106.57
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	176	56	$582.04	$233.04
17250 Application of chemical to stop tissue regrowth in wound	163	34	$236.05	$57.50
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	136	136	$189.28	$80.96
17250 Application of chemical to stop tissue regrowth in wound	123	43	$235.75	$26.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	113	86	$94.70	$39.48
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	102	69	$94.70	$39.48
97597 Removal of tissue from wound, 20.0 sq cm or less	95	25	$244.00	$98.72
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	86	86	$313.42	$134.01
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	26	17	$98.32	$26.35
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	21	11	$180.62	$57.13
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$188.86	$80.92
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$313.42	$134.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	501	120	$339.66	$113.14
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	487	130	$215.06	$90.44
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	404	75	$600.90	$238.52
11042 Removal of skin and tissue, 20.0 sq cm or less	394	166	$339.66	$53.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	319	148	$215.06	$90.40
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	314	100	$600.90	$159.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	282	116	$164.76	$69.01
17250 Application of chemical to stop tissue regrowth in wound	275	58	$239.76	$64.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	212	131	$164.76	$69.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	142	142	$304.74	$128.77
17250 Application of chemical to stop tissue regrowth in wound	140	59	$239.76	$26.56
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	103	42	$103.86	$43.45
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	95	29	$193.60	$58.93
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	88	18	$193.60	$76.64
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	88	88	$211.56	$89.27
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	60	25	$106.70	$27.79
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	55	32	$103.86	$43.40
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	45	22	$106.70	$42.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$243.53	$165.10
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$211.56	$89.16
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$304.74	$129.35
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	13	$318.44	$133.71
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	12	12	$318.44	$133.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	570	106	$601.09	$238.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	545	192	$164.80	$69.64
11042 Removal of skin and tissue, 20.0 sq cm or less	444	141	$339.96	$110.16
11042 Removal of skin and tissue, 20.0 sq cm or less	377	164	$340.09	$54.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	346	143	$215.11	$91.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	263	149	$164.94	$69.64
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	224	85	$601.86	$159.92
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	219	136	$215.31	$91.53
17250 Application of chemical to stop tissue regrowth in wound	185	72	$239.91	$61.49
17250 Application of chemical to stop tissue regrowth in wound	156	60	$239.94	$23.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	155	155	$304.88	$130.53
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	149	27	$193.60	$77.58
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	140	38	$193.71	$59.70
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	79	33	$106.70	$28.15
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	64	64	$211.56	$90.57
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	39	21	$106.70	$42.73
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	36	33	$104.10	$44.23
11044 Removal of bone, 20.0 sq cm or less	33	20	$799.78	$323.39
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	30	30	$305.48	$130.43
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	26	26	$211.56	$90.57
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	25	23	$318.44	$135.85
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$105.00	$91.32
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	21	18	$318.44	$135.85
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	20	$103.86	$44.24
11104 Punch biopsy, first skin growth	14	14	$348.06	$111.27
99306 Initial nursing facility visit, typically 45 minutes per day	14	14	$392.04	$168.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$169.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	423	77	$323.66	$113.82
11042 Removal of skin and tissue, 20.0 sq cm or less	342	89	$324.08	$51.74
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	267	64	$586.75	$161.29
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	233	89	$164.33	$69.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	206	43	$586.52	$236.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	192	89	$216.45	$91.88
17250 Application of chemical to stop tissue regrowth in wound	188	49	$222.86	$57.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	165	86	$164.41	$69.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	143	89	$216.41	$91.91
17250 Application of chemical to stop tissue regrowth in wound	138	45	$222.74	$23.56
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	93	22	$190.12	$60.04
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	83	18	$106.14	$28.64
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	77	77	$304.10	$130.92
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	65	14	$190.02	$77.37
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	41	41	$214.10	$91.79
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	40	37	$104.12	$44.56
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	33	13	$106.14	$43.04
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	27	27	$213.86	$91.44
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	26	24	$104.12	$44.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$140.00	$108.90
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	18	$304.10	$130.83
11104 Punch biopsy, first skin growth	17	15	$329.70	$124.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$166.00
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$107.50	$75.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$248.00	$203.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	586	145	$308.78	$112.66
17250 Application of chemical to stop tissue regrowth in wound	407	107	$211.84	$62.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	327	148	$161.10	$68.62
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	315	58	$565.36	$229.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	255	122	$213.92	$91.33
11042 Removal of skin and tissue, 20.0 sq cm or less	251	87	$296.25	$58.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	148	63	$161.10	$68.63
17250 Application of chemical to stop tissue regrowth in wound	126	40	$212.47	$26.06
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	113	98	$102.68	$43.88
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	111	16	$181.74	$74.90
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	89	27	$561.70	$158.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	85	56	$213.92	$91.32
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	70	14	$102.04	$41.84
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	49	49	$210.16	$90.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	47	47	$302.98	$130.20
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	44	13	$175.86	$58.70
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	42	42	$210.16	$90.27
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	41	15	$93.50	$27.68
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	26	$302.98	$130.20
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	19	$102.68	$43.88
99213 Established patient office or other outpatient visit, typically 15 minutes	17	11	$105.88	$73.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$250.00	$163.73
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	14	$315.96	$135.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	237	45	$150.00	$59.74
99213 Established patient office or other outpatient visit, typically 15 minutes	40	28	$85.00	$48.61
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	29	13	$58.48	$26.07
99213 Established patient office or other outpatient visit, typically 15 minutes	26	16	$87.31	$68.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$248.00	$192.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$140.00	$100.54
97597 Removal of tissue from wound, 20.0 sq cm or less	17	12	$86.00	$22.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$247.33	$155.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$140.00	$99.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$232.50	$152.96
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$85.00	$67.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$248.00	$190.22

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME88406

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2684284 00 (FL)

Hospital & Practice Group Affiliations

Florida Post Acute Care Clinicians Llc

1350 Sleepy Hill Rd, Lakeland, FL 338103800

Phone: 8668777123

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location August 03, 2009

Registered at 131 WEBB DR, SUITE B, DAVENPORT, FL 338373921 (Tel: 8634214407)

📍

Updated Business Mailing Address August 03, 2009

Registered at 131 WEBB DR, SUITE B, DAVENPORT, FL 338373921 (Tel: 8634214407)

👤

Provider Name / Credentials Updated August 03, 2009

Recorded as KARLENE SINCLAIR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2009

Surgery (License #ME88406 in FL)

🟢

Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265456339

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: August 03, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

131 Webb Dr, Suite B

Davenport, FL 338373921

Phone: 8634214407

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.