Doctor profile · Federal record

Dr. Nick Karahalios, MD

Internal Medicine Physician (CMS: Internal Medicine) · San Clemente, CA

  • NPI 1255442505
  • Accepts Medicare
  • 34 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
665 Camino de Los Mares Ste 309
San Clemente, CA 926732841
(949) 487-9034
fax (949) 493-3721

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
May 27, 2021
Year of graduation
1992 — 34 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
California #G77834

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255442505. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,537
Distinct HCPCS
10
Medicare allowed
$134,959
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 640 92 $139
36415 Insertion of needle into vein for collection of blood sample 308 87 $8
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 93 48 $26
17000 Destruction of precancer skin growth, 1 growth 78 34 $76
17003 Destruction of precancer skin growth, 2-14 growths 64 23 $8
90662 Influenza vaccine split virus, preservative free 64 64 $72
G0008 Administration of influenza virus vaccine 64 64 $33
99213 Established patient office or other outpatient visit, 20-29 minutes 61 32 $98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 45 11 $125
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 27 25 $157

In context: peer comparison

Among 3 peers in this city , average services per provider: 95. This provider delivers 16× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$53
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Janssen Pharmaceuticals, Inc 3 $52.95

By nature of payment

Food and Beverage
$53

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
744
Patients
149
Total drug cost
$50,501
Drug Type Claims Patients Total cost
Zolpidem Tartrate Generic 81 11 $553
Rosuvastatin Calcium Generic 78 23 $1,760
Tamsulosin Hcl Generic 65 16 $1,104
Amlodipine Besylate Generic 57 14 $420
Azithromycin Generic 55 32 $230
Levothyroxine Sodium Generic 54 13 $820
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 49 13 $1,691
Alprazolam Generic 48 0 $546
Pantoprazole Sodium Generic 48 13 $352
Prednisone Generic 48 14 $91

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Nick Karahalios's medical specialty?
Dr. Nick Karahalios practices Internal Medicine Physician in San Clemente, CA.
Where does Dr. Nick Karahalios practice?
Dr. Nick Karahalios practices at 665 Camino de Los Mares Ste 309, San Clemente, CA 926732841. Office phone: 9494879034.
What is Dr. Nick Karahalios's NPI?
Dr. Nick Karahalios's National Provider Identifier (NPI) is 1255442505, issued by NPPES.
Does Dr. Nick Karahalios accept Medicare assignment?
Yes. Dr. Nick Karahalios accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nick Karahalios commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS 99211). Source: CMS Medicare Physician & Other Practitioners file.