Active NPI 1457509341 Individual Practitioner Male Practitioner

Karl David Sinclair , PA-C

Physician Assistant • Berkley, MI

Professional Overview & Biography Verified Profile Summary

Karl Sinclair, PA-C is a registered healthcare professional specializing in Physician Assistant in Berkley, MI. Practice services are available at 2905 W 12 MILE RD under active NPI credentials.

Frequently performed procedures and clinical services include aspiration of fluid from chest cavity using imaging guidance, drainage of fluid from abdominal cavity using imaging guidance, fluoroscopic guidance for insertion, replacement or removal of central venous access device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2905 W 12 Mile Rd

Berkley, MI 480721413

Telephone 2485410070

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Berkley, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.9 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

12 Specialists

Practicing in Berkley, MI (7057 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
32555 Aspiration of fluid from chest cavity using imaging guidance	37	26	$388.00	$89.67
49083 Drainage of fluid from abdominal cavity using imaging guidance	27	18	$374.00	$89.00
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	26	23	$63.00	$15.25
76937 Ultrasonic guidance for blood vessel access	21	21	$50.00	$11.78
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$1234.00	$285.99
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	13	13	$321.00	$71.74
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	11	11	$301.00	$63.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	53	53	$50.00	$12.65
49083 Drainage of fluid from abdominal cavity using imaging guidance	41	23	$374.00	$89.66
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	40	39	$63.00	$15.37
32555 Aspiration of fluid from chest cavity using imaging guidance	36	29	$388.00	$94.66
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	31	31	$963.00	$223.36
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	24	24	$40.00	$11.24
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$1234.00	$293.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$435.00	$110.94
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	18	14	$301.00	$69.27
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	13	12	$321.00	$75.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	47	38	$388.00	$97.97
49083 Drainage of fluid from abdominal cavity using imaging guidance	42	19	$374.00	$94.51
76937 Ultrasonic guidance for blood vessel access	42	42	$50.00	$11.84
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	22	21	$963.00	$221.05
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$1234.00	$306.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$435.00	$120.61
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	12	12	$40.00	$11.61
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$63.00	$16.57
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	11	11	$321.00	$79.75
77002 Fluoroscopic guidance for needle placement	11	11	$91.00	$24.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	58	47	$388.00	$95.68
76937 Ultrasonic guidance for blood vessel access	43	39	$50.00	$12.40
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	33	31	$63.00	$16.99
49083 Drainage of fluid from abdominal cavity using imaging guidance	24	17	$373.46	$91.71
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$1234.00	$311.04
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	16	$963.00	$238.82
77002 Fluoroscopic guidance for needle placement	15	14	$91.00	$24.78
20610 Aspiration and/or injection of fluid from large joint	14	12	$180.57	$44.10
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	14	$40.00	$11.20
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	12	11	$301.00	$77.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	41	16	$374.00	$99.19
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	39	38	$63.00	$16.88
32555 Aspiration of fluid from chest cavity using imaging guidance	37	36	$388.00	$103.22
76937 Ultrasonic guidance for blood vessel access	30	30	$50.00	$12.98
77003 Fluoroscopic guidance for spine or back muscle injection	15	15	$97.00	$26.84
62284 Injection of contrast for imaging of lower spinal canal	14	14	$297.00	$80.88
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1234.00	$317.36
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	13	12	$301.00	$79.37
62328 Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance	12	12	$321.00	$84.57
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	12	$963.00	$239.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49083 Drainage of fluid from abdominal cavity using imaging guidance	87	24	$374.00	$95.85
32555 Aspiration of fluid from chest cavity using imaging guidance	67	49	$388.00	$101.72
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	57	51	$63.00	$16.72
76937 Ultrasonic guidance for blood vessel access	43	41	$50.00	$12.86
77002 Fluoroscopic guidance for needle placement	30	25	$91.00	$24.59
20610 Aspiration and/or injection of fluid from large joint	29	24	$158.00	$42.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	15	$130.00	$34.93
77003 Fluoroscopic guidance for spine or back muscle injection	26	25	$97.00	$26.95
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	22	$1234.00	$315.10
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	18	16	$936.25	$229.97
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	16	$40.00	$11.05
62284 Injection of contrast for imaging of lower spinal canal	13	12	$297.00	$81.50
62270 Spinal tap for diagnosis	13	13	$272.00	$71.41
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	11	11	$301.00	$78.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$261.00	$69.44
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$169.00	$41.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	81	64	$392.79	$99.62
49083 Drainage of fluid from abdominal cavity using imaging guidance	71	26	$374.00	$97.71
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	54	50	$63.00	$16.55
76937 Ultrasonic guidance for blood vessel access	44	43	$50.00	$12.73
77003 Fluoroscopic guidance for spine or back muscle injection	34	34	$97.00	$26.15
77002 Fluoroscopic guidance for needle placement	28	24	$91.00	$24.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	14	$130.00	$34.58
20610 Aspiration and/or injection of fluid from large joint	21	17	$165.52	$39.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1234.00	$313.86
62270 Spinal tap for diagnosis	17	17	$272.00	$70.57
62284 Injection of contrast for imaging of lower spinal canal	17	17	$297.00	$80.08
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	15	14	$40.00	$11.43
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$169.00	$44.98
36569 Insertion of central venous catheter for infusion, patient 5 years or older	11	11	$316.00	$77.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	80	64	$388.00	$100.28
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	70	66	$63.00	$16.64
76937 Ultrasonic guidance for blood vessel access	57	57	$50.00	$12.59
49083 Drainage of fluid from abdominal cavity using imaging guidance	40	27	$374.00	$97.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	16	$130.00	$34.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$261.00	$68.07
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1234.00	$310.09
77002 Fluoroscopic guidance for needle placement	20	19	$91.00	$24.58
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	19	19	$40.00	$10.79
20610 Aspiration and/or injection of fluid from large joint	18	17	$158.00	$41.66
36569 Insertion of central venous catheter for infusion, patient 5 years or older	17	17	$316.00	$81.83
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$963.00	$237.94
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$418.00	$108.73

Medical Specialties & State Licenses

CMS Verified: 2021-03-01

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601005389

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Dinesh Shah , MD

Internal Medicine

NPI 1184607129

Doctor of Medicine (M.D.)

Dr. Rita Shah , MD

Internal Medicine

NPI 1639156441

Doctor of Medicine (M.D.)

Dr. Alka Shah , MD

Psychiatry & Neurology - Neurology

NPI 1952385072

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address March 01, 2021

Registered at PO BOX 27561, BELFAST, ME 049152027

✅

NPI Profile Active September 04, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2008

Registered at 2905 W 12 MILE RD, BERKLEY, MI 480721413 (Tel: 2485410070)

📍

Updated Business Mailing Address September 04, 2008

Registered at 2905 W 12 MILE RD, BERKLEY, MI 480721413 (Tel: 2485410070)

👤

Provider Name / Credentials Updated September 04, 2008

Recorded as KARL SINCLAIR, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2008

Physician Assistant (License #5601005389 in MI)

🟢

Initial NPI Registration & Enumeration September 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1457509341

Entity Type:

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

Enumeration Date: September 04, 2008

Last Update: March 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27561

Belfast, ME 049152027

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.