Active NPI 1518997394 Individual Practitioner Male Practitioner

Dr. Andrew L Karanas , MD

Surgery • Fenton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Karanas, MD is a certified Surgery practicing in Fenton, MO. With approximately 31 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 1995, Dr. Karanas delivers high-quality medical care to the local community at 10 BOWLES AVE.

Dr. Karanas is affiliated with Ssm Regional Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up 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

10 Bowles Ave

Fenton, MO 63026

Telephone 6364962502

Associated Practice Facility / Clinic

🏢 Ssm Health Care St Louis Facility NPI 1275586174

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fenton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +7.8 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Fenton, MO (766 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Karanas (31 Years) 31 Yrs

Fenton Specialty Average (23.2 Years) 23.2 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	17	$78.56	$33.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$155.88	$76.64
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$90.53	$61.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	22	$114.82	$48.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	54	$110.00	$37.97
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$209.00	$94.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	17	$101.71	$35.59
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$209.00	$99.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	25	$81.00	$38.89
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$209.00	$102.46
31600 Opening of windpipe through neck for insertion of breathing tube	15	15	$976.00	$315.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	33	$59.27	$39.64
99213 Established patient office or other outpatient visit, typically 15 minutes	26	12	$107.31	$68.75
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$151.59	$102.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	31	$55.00	$39.05
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$101.00	$71.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$150.00	$106.17
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$137.00	$101.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$148.00	$105.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	28	$55.00	$38.45
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$137.00	$100.65
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$101.00	$71.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$61.00	$42.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$150.00	$105.76

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 25007003905

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MA 226595

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2110911 (MA)

Commercial Insurance / Payer ID Blue Cross

J29465 (MA)

Hospital & Practice Group Affiliations

Ssm Regional Health Services

2505 Mission Dr, Jefferson City, MO 651099508

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2015

Registered at 10 BOWLES AVE, FENTON, MO 63026 (Tel: 6364962502)

📍

Updated Business Mailing Address February 17, 2015

Registered at PO BOX 504032, SAINT LOUIS, MO 631504032 (Tel: 3149890300)

👤

Provider Name / Credentials Updated February 17, 2015

Recorded as ANDREW KARANAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2015

Pediatrics (License #226595 in MA)

🟢

Initial NPI Registration & Enumeration July 04, 2006

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: 1518997394

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: February 17, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 504032

Saint Louis, MO 631504032

Phone: 3149890300

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.