KAREN L KLAEGE (MD) – Family Medicine Physician, NPI 1790996262

KAREN L KLAEGE (MD) is a healthcare provider. based in Port clinton, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 57008962 (OH). The NPI Number for KAREN L KLAEGE (MD) is 1790996262

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
KAREN L KLAEGE (MD)
NPI
1790996262
Phone
(419) 732-6520
Address
621 FULTON ST
Enumeration Date
25 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4193014328
Graduation Year
2004 (22 years ago)
PAC ID
8123117447
Group Practice PAC ID
1951675198
Professional Enrollment ID
I20071210000017
Address ID
OH434522034PO621XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for KAREN L KLAEGE (MD)

  • 621, Fulton Street, Port Clinton, Ottawa County, Ohio, 43452, United States

    PORT CLINTON, OH 434522034

    Phone: (419) 732-6520

    Type: Location

  • 525, Rockwell Street, South Side, Sandusky, Erie County, Ohio, 44870, United States

    SANDUSKY, OH 448704743

    Phone: (419) 609-9100

    Fax: (419) 609-9100

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-12-01 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071210000017IFamily PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43452)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951675198View full group profile

Reviews

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Frequently asked questions

What is KAREN L KLAEGE (MD)'s NPI number?
KAREN L KLAEGE (MD)'s NPI is 1790996262 — the number used across U.S. healthcare to identify this provider.
Would KAREN L KLAEGE (MD) appear as active to a payer?
You can treat KAREN L KLAEGE (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KAREN L KLAEGE (MD)?
KAREN L KLAEGE (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KAREN L KLAEGE (MD)?
Directory geography for KAREN L KLAEGE (MD) centers on Port Clinton, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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