Karina Gonzalez Otarula, MD
NPI 1861981938 · Epilepsy Physician · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Epileptologists · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karina Gonzalez Otarula, MD is a Epilepsy Physician provider in Sioux Falls, SD (NPI 1861981938).
Provider details
- NPI number
- 1861981938
- Entity type
- Individual
- Primary specialty
- Epilepsy PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- R-11102 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
248 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 188 | $92 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 24 | $62 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 14 | $170 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 11 | $125 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 11 | $136 |
Typical Medicare-allowed amounts for these services range $62–$170 (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 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levetiracetam | 415 | 72 |
| Lacosamide | 214 | 35 |
| Lamotrigine | 211 | 27 |
| Zonisamide | 107 | 15 |
| Carbamazepinebrand: Carbamazepine Er | 100 | — |
| Memantine Hcl | 98 | 17 |
| Donepezil Hcl | 93 | 23 |
| Topiramate | 92 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,752 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 200 Hawkins Dr Dept ofIowa City, IA 52242-1009Phone: (319) 356-2580
Registry dates
- Enumerated
- 2018-05-04
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Frequently asked questions
- What is Karina Gonzalez Otarula's NPI number?
- Karina Gonzalez Otarula's National Provider Identifier (NPI) is 1861981938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karina Gonzalez Otarula's specialty?
- Karina Gonzalez Otarula is listed in the NPPES registry with a primary specialty of Epilepsy Physician (Allopathic & Osteopathic Physicians).
- Where is Karina Gonzalez Otarula located?
- Karina Gonzalez Otarula's practice location on file with NPPES is 1210 W 18th St Ste 100, Sioux Falls, SD 57104-4650.
- What is Karina Gonzalez Otarula's phone number?
- The practice phone number listed in the NPPES registry for Karina Gonzalez Otarula is (605) 312-8500.
- Does Karina Gonzalez Otarula accept Medicare?
- Karina Gonzalez Otarula is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karina Gonzalez Otarula's NPI active?
- Yes — Karina Gonzalez Otarula's NPI (1861981938) is active in the NPPES registry as of the last update on 2024-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.