Dr Karl P Riggle, MD - Medicare General Surgery in Hagerstown, MD

Dr Karl P Riggle, MD is a medicare enrolled "Surgery" physician in Hagerstown, Maryland. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Tristate Surgeons, Llc, Tristate Surgeons, Llc and his current practice location is 1110 Professional Ct, Ste 101, Hagerstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 513-4601.

Dr Karl P Riggle is licensed to practice in Maryland (license number D0038764) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831114511.

Contact Information

Dr Karl P Riggle, MD
1110 Professional Ct, Ste 101,
Hagerstown, MD 21740-5937
(240) 513-4601
(240) 513-4602

Map and Direction




Physician's Profile

Full NameDr Karl P Riggle
GenderMale
SpecialityGeneral Surgery
Experience41 Years
Location1110 Professional Ct, Hagerstown, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Karl P Riggle attended and graduated from Virginia Commonwealth University, School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1831114511
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 04/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416845730
  • Enrollment ID: I20040309000115

Medical Identifiers

Medical identifiers for Dr Karl P Riggle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831114511NPI-NPPES
0012196800003MedicaidPA
54499100MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery D0038764 (Maryland)Primary
208600000XSurgery MD042103L (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home Call - FrederickFrederick, MDHome health agency
Meritus Medical CenterHagerstown, MDHospital
Fulton County Medical CenterMcconnellsburg, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tristate Surgeons, Llc21633101862
Tristate Surgeons, Llc21633101862

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Karl P Riggle allows following entities to bill medicare on his behalf.
Entity NameTristate Surgeons, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861544363
PECOS PAC ID: 2163310186
Enrollment ID: O20040310000160
Entity NameJ C Blair Medical Services Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1861575938
PECOS PAC ID: 7416051545
Enrollment ID: O20070329000662

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Karl P Riggle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Karl P Riggle, MD
1110 Professional Ct, Ste 101,
Hagerstown, MD 21740-5937

Ph: (301) 714-4335
Dr Karl P Riggle, MD
1110 Professional Ct, Ste 101,
Hagerstown, MD 21740-5937

Ph: (240) 513-4601

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.