DR. CAROL K KNIESS (D.O.) – Emergency Medicine Physician, NPI 1053606954
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,391 EMERGENCY MEDICINE in PA
Provider Addresses for DR. CAROL K KNIESS (D.O.)
5501 OLD YORK RD
PHILADELPHIA, PA 191413018
Phone: (215) 456-7890
Type: Mailing
1 GUTHRIE SQ
SAYRE, PA 188401625
Phone: (267) 902-2535
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211216000159 | I | Emergency Medicine | PA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 170 | 165 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 164 | 160 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 34 | 33 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 19141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NC | |
| Emergency Medicine | PA | |
| Family Practice | PA | |
| P S Y C H I A T R Y | WV | |
| Emergency Medicine | NY | |
| Emergency Medicine | NY | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA | |
| Emergency Medicine | NY | |
| Family Practice, Emergency Medicine, Emergency Medicine | PA |
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