Active NPI 1356464770 Individual Practitioner Female Practitioner

Dr. Karen Nichole Mcfarlane , MD

Surgery • Port Huron, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Karen Mcfarlane, MD is a certified Surgery practicing in Port Huron, MI. With approximately 22 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 2004, Dr. Mcfarlane delivers high-quality medical care to the local community at 1221 RICHARDSON ST.

Dr. Mcfarlane accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1221 Richardson St

Port Huron, MI 480603548

Telephone 8106620400

Fax 8108243576

Associated Practice Facility / Clinic

🏢 Hope Surgical, Pllc Facility NPI 1558972794

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Port Huron, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -10.2 yrs vs City Avg

City Avg: 32.2 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Port Huron, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcfarlane (22 Years) 22 Yrs

Port Huron Specialty Average (32.2 Years) 32.2 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	27	$100.00	$75.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	26	$140.00	$112.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$263.33	$164.88
99221 Initial hospital inpatient care per day, typically 30 minutes	17	15	$130.00	$79.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$650.00	$87.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$190.00	$124.31
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$100.00	$63.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	22	$100.00	$76.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$140.00	$115.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$186.67	$125.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$283.33	$167.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	50	$100.00	$68.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	47	$147.93	$121.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	43	$260.00	$191.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	30	$140.00	$99.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$210.00	$158.10
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$100.00	$83.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$650.00	$89.96
45378 Diagnostic exam of large bowel using a flexible endoscope	18	17	$673.56	$178.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$170.00	$81.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$950.00	$248.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$190.00	$174.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$270.00	$198.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$180.00	$130.68
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$100.00	$61.30
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$500.00	$94.64
45380 Biopsy of large bowel using an endoscope	11	11	$900.00	$178.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	208	79	$101.27	$70.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	130	73	$140.00	$100.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	86	$141.72	$125.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	65	$260.00	$195.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	40	$650.00	$93.18
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$100.00	$88.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	30	$196.32	$176.08
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$100.00	$65.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$270.00	$216.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$210.00	$163.43
47562 Removal of gallbladder using an endoscope	26	26	$1240.38	$613.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	23	$180.00	$132.58
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$689.65	$178.78
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$627.78	$182.75
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$500.00	$73.69
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	18	15	$650.00	$143.02
99220 Hospital observation care, typically 70 minutes	14	14	$300.00	$177.26
99218 Hospital observation care typically 30 minutes	13	13	$180.00	$95.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	12	$950.00	$236.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	80	$110.00	$71.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	52	$164.00	$101.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	37	$156.00	$103.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	45	$305.00	$199.95
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$111.00	$61.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	25	$141.41	$75.93
99213 Established patient office or other outpatient visit, typically 15 minutes	32	24	$97.00	$50.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$675.00	$226.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$445.00	$104.22
45380 Biopsy of large bowel using an endoscope	27	27	$656.59	$132.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$253.00	$159.45
47562 Removal of gallbladder using an endoscope	21	21	$1269.00	$646.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$202.00	$136.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$319.00	$189.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$60.00	$38.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$193.23	$103.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$222.00	$141.74
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$311.00	$102.92

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	99	78	$163.51	$100.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	56	$110.00	$71.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	52	$220.11	$139.34
99213 Established patient office or other outpatient visit, typically 15 minutes	59	51	$110.75	$70.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	41	$445.00	$110.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$253.00	$156.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$305.00	$199.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	27	$156.00	$102.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$142.67	$77.70
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$96.92	$50.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	17	$189.48	$109.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	21	$675.00	$251.82
45380 Biopsy of large bowel using an endoscope	20	20	$646.60	$157.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$317.42	$201.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$404.00	$181.57
91010 Study of esophagus to assess movement	13	13	$126.00	$66.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$295.67	$154.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$202.00	$135.25

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	78	71	$157.00	$101.39
99213 Established patient office or other outpatient visit, typically 15 minutes	73	51	$106.00	$70.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	48	$211.00	$140.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$445.00	$104.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	25	$106.00	$71.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$304.00	$200.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	29	$290.00	$192.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	27	$188.00	$98.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$197.00	$129.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$245.00	$159.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$140.61	$72.14
45380 Biopsy of large bowel using an endoscope	20	20	$604.00	$110.25
43245 Dilation of stomach outlet using an endoscope	20	15	$344.00	$144.26
91010 Study of esophagus to assess movement	17	17	$126.00	$63.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$675.00	$258.79
47562 Removal of gallbladder using an endoscope	13	13	$1265.00	$568.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	45	$188.00	$102.69
99213 Established patient office or other outpatient visit, typically 15 minutes	65	54	$106.00	$68.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	40	$157.00	$101.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	47	$211.00	$137.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	50	$445.00	$93.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	27	$106.00	$70.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	39	$290.00	$197.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	27	$140.44	$76.65
43245 Dilation of stomach outlet using an endoscope	25	17	$344.00	$166.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	11	$151.00	$101.82
45380 Biopsy of large bowel using an endoscope	21	21	$604.00	$140.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$304.00	$199.24
47562 Removal of gallbladder using an endoscope	15	15	$1286.13	$618.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$197.00	$125.86
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$472.00	$173.74
91010 Study of esophagus to assess movement	13	13	$126.00	$65.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$284.00	$164.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$675.00	$240.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$404.00	$173.60
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$311.00	$90.08

Medical Specialties & State Licenses

CMS Verified: 2022-02-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301084126

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.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License NH 14739

A surgeon who specializes in plastic and reconstructive surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MN 52301

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1356464770 (MI)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kimberley Clark-Paul , MD

Surgery

NPI 1952410987

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2022

Surgery (License #14739 in NH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2020

Surgery (License #4301084126 in MI)

📍

Updated Practice Location February 28, 2018

Registered at 1221 RICHARDSON ST, PORT HURON, MI 480603548 (Tel: 8109821111)

📍

Updated Business Mailing Address February 28, 2018

Registered at 1221 RICHARDSON ST, PORT HURON, MI 480603548 (Tel: 8109821111)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2018

Surgery (License #52301 in MN)

✅

NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 25, 2016

Registered at 1216 WASHINGTON AVE, PORT HURON, MI 480603555 (Tel: 8109821111)

📍

Updated Business Mailing Address May 25, 2016

Registered at 1216 WASHINGTON AVE, PORT HURON, MI 480603555 (Tel: 8109821111)

👤

Provider Name / Credentials Updated May 25, 2016

Recorded as KAREN MCFARLANE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Surgery (License #4301084126 in MI)

🟢

Initial NPI Registration & Enumeration April 09, 2007

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: 1356464770

Entity Type:

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

Enumeration Date: April 09, 2007

Last Update: February 09, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1221 Richardson St

Port Huron, MI 480603548

Phone: 8106620400

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.