NPPES file of Aug 9, 2026

Michael S. Karls, PAC

Physician Assistant · San Francisco, CA

Michael S. Karls, PAC is a physician assistant with a practice address in San Francisco, California, and NPI 1801804737, issued on Aug 4, 2006. Check the license (California PA17789, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1801804737
Name
Michael S. Karls
Credential
PAC
Primary taxonomy
Physician Assistant 363A00000X
License number
PA17789 CA
Self-reported in NPPES; status is on the state search
Practice location
45 Castro St, San Francisco, CA 94114
Phone
(415) 861-8627
Enumerated
Aug 4, 2006
Record last updated
Jul 25, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(415) 389-7455
Medicare enrollment
Enrolled (PECOS I20060105000755); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 45 Castro St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bernard Alpert, M.D.Specialist1578680450
  2. Ghazi Althubaiti, MDPlastic Surgery Physician1528373735
  3. Wayne Anderson, DONeurology Physician1679559421
  4. Robert Benard, NPAcute Care Nurse Practitioner1184027724
  5. Neil Bhalerao, M.D.Internal Medicine Physician1265872154
  6. Joseph Bou-MerhiPlastic Surgery Physician1831340975

Verify Michael S. Karls in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license PA17789
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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52% fewer Medicare Part D claims than the average physician assistant in 2024

398 Medicare Part D claims for 144 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.

  1. Michael Karls398
  2. Specialty average830

Most prescribed

  1. Clobetasol Propionate98 claims
  2. Ciclopirox44 claims
  3. Desonide37 claims
  4. Triamcinolone Acetonide29 claims
  5. Mupirocin27 claims
  6. Minoxidil23 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $5,283.29

178 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michael Karls$5,283.29
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Csi Medical GroupSan Francisco, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michael S. Karls among 14,451 physician assistant records in California

Michael S. Karls, PAC is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 1% of them.

  • NPI issued2006 · 1% of these records are older, 87% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated1995 · median 2018 among the 7,214 with a school on file
  • Record last updated2007 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physician Assistant providers in California

There are 14,451 physician assistant records in California.

The 8 physician assistant records with the nearest ZIP codes

  1. Esther Brooking, PASan Francisco, CA 941141285057174
  2. Van Cam, PA-CSan Francisco, CA 941141295144822
  3. Maura Devereux, PA-CSan Francisco, CA 941141255562724
  4. Renee Kagan, PA-CSan Francisco, CA 941141154738359
  5. Martin Kramer, PA-CSan Francisco, CA 941141710001649
  6. Aileen Kucsera, PA-CSan Francisco, CA 941141316229230
  7. Elizabeth Lynch, PA-CSan Francisco, CA 941141073779609
  8. Jeffrey Manese, PA-CSan Francisco, CA 941141619023769

Common questions

What is Michael S. Karls, PAC's NPI number?

Michael S. Karls, PAC's National Provider Identifier (NPI) is 1801804737, issued on Aug 4, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Michael S. Karls, PAC located?

The NPPES record lists a practice address at 45 Castro St, San Francisco, CA, 94114. Phone: (415) 861-8627. Providers update this record themselves, so call before visiting.

How can I verify Michael S. Karls, PAC's license?

NPPES lists California license number PA17789, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Michael S. Karls, PAC prescribe under Medicare Part D?

In 2024, Michael S. Karls, PAC had 398 Medicare Part D claims for 144 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.