Dr. Amir Karni, MD - Surgery in Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Amir Karni, MD is a certified Surgery practicing in Houston, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Karni delivers high-quality medical care to the local community at 12930 EAST FWY.

Dr. Karni is affiliated with Surgical Associates Of Greater Houston Pa and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

12930 East Fwy

Houston, TX 770155710

Telephone 7134537197

Fax 7134501345

Associated Practice Facility / Clinic

🏢 East Houston Orthopedics & Sports Medicine, P.a. Facility NPI 1760488241

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +9.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

376 Specialists

Practicing in Houston, TX (2342 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

4.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Karni (30 Years) 30 Yrs

Houston Specialty Average (20.3 Years) 20.3 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	74	25	$52.00	$49.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$179.00	$172.62
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$94.00	$89.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$172.00	$161.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	166	29	$50.07	$49.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	50	$174.57	$171.81
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$90.78	$89.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$167.58	$165.10
43246 Insertion of stomach tube using a flexible endoscope	14	14	$201.13	$170.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$128.39	$126.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$221.23	$217.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	20	$39.99	$39.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$205.60	$200.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$171.54	$169.86
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$84.07	$83.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	15	$40.54	$39.35
99213 Established patient office or other outpatient visit, typically 15 minutes	28	20	$76.31	$76.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$208.23	$205.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$168.99	$168.99
47562 Removal of gallbladder using an endoscope	11	11	$691.79	$691.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	174	32	$40.54	$40.32
99213 Established patient office or other outpatient visit, typically 15 minutes	43	31	$76.31	$76.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	33	$208.23	$206.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$168.99	$168.50
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$19.36	$19.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$111.26	$110.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	197	40	$40.33	$39.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	54	$208.04	$204.71
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$76.11	$75.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$168.86	$166.41
47562 Removal of gallbladder using an endoscope	18	18	$689.58	$678.54
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	11	$226.65	$87.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	262	47	$39.83	$39.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$207.35	$204.03
99213 Established patient office or other outpatient visit, typically 15 minutes	43	34	$73.72	$72.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$167.63	$165.23
43246 Insertion of stomach tube using a flexible endoscope	18	18	$220.40	$157.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$109.50	$107.75
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$1206.19	$345.64
47562 Removal of gallbladder using an endoscope	11	11	$683.83	$672.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	259	43	$39.83	$38.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	58	$207.35	$198.93
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$73.72	$69.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$167.63	$160.50
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$239.81	$120.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$109.50	$105.08
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$742.49	$541.80
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$70.98	$18.75
43246 Insertion of stomach tube using a flexible endoscope	12	12	$220.40	$169.49
36590 Removal of peripheral venous catheter for infusion	12	12	$302.55	$191.09

Medical Specialties & State Licenses

CMS Verified: 2026-01-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX K2932

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License FL ME85122

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License TX K2932

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX 47949

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

10007807 (TX)

Medicaid State Provider ID

152346601 (TX)

Commercial Insurance / Payer ID Aetna

7263360 (TX)

Commercial Insurance / Payer ID Tax Id #

742136445 (TX)

Commercial Insurance / Payer ID Blue Cross &blue Shield

81912B6 (TX)

Hospital & Practice Group Affiliations

Surgical Associates Of Greater Houston Pa

12930 E Fwy, Houston, TX 770155710

Phone: 7134537197

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Simon Karni , MD

Specialist

NPI 1962510297

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address October 30, 2025

Registered at 12930 EAST FWY, HOUSTON, TX 770155710 (Tel: 7134537197)

👤

Provider Name / Credentials Updated October 30, 2025

Recorded as AMIR KARNI, MD

📍

Updated Practice Location January 03, 2023

Registered at 12930 EAST FWY, HOUSTON, TX 770155710 (Tel: 7134537197)

✅

NPI Profile Active February 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2013

Registered at 1140 WESTMONT DR, SUITE 435, HOUSTON, TX 770154363 (Tel: 7134537197)

📍

Updated Business Mailing Address February 06, 2013

Registered at 805 CIRCLE DRIVE, BELLAIRE, TX 77401 (Tel: 7135201652)

👤

Provider Name / Credentials Updated February 06, 2013

Recorded as AMIR KARNI, MEDICAL DOCTOR

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2013

Specialist (License #K2932 in TX)

🟢

Initial NPI Registration & Enumeration June 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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Dr. Amir Karni , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Surgical Associates Of Greater Houston Pa

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address