Karla Spika, MD
NPI 1861427585 · Family Medicine Physician · De Pere, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karla Spika, MD is a Family Medicine Physician provider in De Pere, WI (NPI 1861427585).
Provider details
- NPI number
- 1861427585
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 37928 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
251 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 86 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 78 | $125 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $88 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 18 | $16 |
| Administration of Influenza Virus VaccineG0008 | 16 | $30 |
Typical Medicare-allowed amounts for these services range $9–$125 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 84 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 399 | 107 |
| Levothyroxine Sodium | 230 | 58 |
| Lisinopril | 200 | 61 |
| Losartan Potassium | 176 | 52 |
| Amlodipine Besylate | 175 | 54 |
| Sertraline Hcl | 141 | 35 |
| Simvastatin | 134 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2008-07-22
Frequently asked questions
- What is Karla Spika's NPI number?
- Karla Spika's National Provider Identifier (NPI) is 1861427585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karla Spika's specialty?
- Karla Spika is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Karla Spika located?
- Karla Spika's practice location on file with NPPES is 1686 Eisenhower Rd, De Pere, WI 54115-8145.
- What is Karla Spika's phone number?
- The practice phone number listed in the NPPES registry for Karla Spika is (920) 496-4700.
- Does Karla Spika accept Medicare?
- Karla Spika is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karla Spika's NPI active?
- Yes — Karla Spika's NPI (1861427585) is active in the NPPES registry as of the last update on 2008-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.