DR. KAREN A HOERST (MD) – Neurology Physician, NPI 1437392115
Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
509 NEUROLOGY in WI
Provider Addresses for DR. KAREN A HOERST (MD)
PO BOX 13579
READING, PA 196123579
Phone: (484) 628-0796
Fax: (484) 334-7026
Type: Mailing
855 N Westhaven Dr
Oshkosh, WI 549047668
Phone: (920) 303-8700
Fax: (920) 456-7601
Type: Location
228 Saint Charles Way Ste 200
York, PA 174024661
Phone: (717) 851-5503
Type: Location
1425 N Randall Rd
Elgin, IL 601232300
Phone: (303) 436-2727
Fax: (303) 436-2710
Type: Location
301, South 7th Avenue, West Reading, Berks County, Pennsylvania, 19611, United States
SUITE 210
WEST READING, PA 196111410
Phone: (484) 628-4656
Fax: (484) 628-4657
Type: Location
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: 2025-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 14 Medicare enrollment records; no due dates published yet.
Enrollment records
14
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 |
|---|---|---|---|---|
| I20140903000141 | I | Neurology | PA | TBD |
| I20230717000951 | I | Neurology | AL | TBD |
| I20241103000076 | I | Neurology | AZ | TBD |
| I20241107000079 | I | Neurology | WI | TBD |
| I20241107002969 | I | Neurology | LA | TBD |
| I20241108002230 | I | Neurology | OK | TBD |
| I20241114003471 | I | Neurology | TX | TBD |
| I20241204002324 | I | Neurology | WV | TBD |
| I20241220001940 | I | Neurology | SC | TBD |
| I20250217001960 | I | Neurology | CO | TBD |
| I20250224001187 | I | Neurology | MT | TBD |
| I20250328002173 | I | Neurology | SD | TBD |
| I20250418000533 | I | Neurology | OH | TBD |
| I20250609002805 | I | Neurology | IL | 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 |
|---|---|---|---|---|
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 102 | 101 | $0 |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 30 | 30 | $0 |
Insurance plans in this area (ZIP 19612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
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