KAREN HIOTIS MD
NPI 1003817065
Surgery - Surgical Oncology in New York, NY

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
160 E 34TH ST, 4TH FLOOR, NEW YORK, NY 10016(212) 731-5180 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Hiotis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN HIOTIS MD (NPI 1003817065) is an individual surgical oncology provider in New York, New York, licensed in New York (214480) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of University Of South Florida College Of Medicine (1994).

NPPES Registry Identity

NPI1003817065
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameKAREN HIOTISCredential: MD
Location Address160 E 34TH ST, 4TH FLOORNew York, NY 10016-4750
Mailing Address160 E 34th St, 4th FloorNew York, NY 10016-4750 · (212) 731-5180
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1994
Enumeration DateAugust 2, 2005
Last NPPES UpdateMarch 20, 2014
NPI 1003817065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in NY · 214480
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

160 E 34TH ST, New York, NY 10016

Other Identifiers 3

Medicaid01980134NY
Medicare UPINH49387NY
Medicare ID-Type Unspecified430I01NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karen Hiotis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820053523
PECOS Enrollment IDI20041122000939
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
389 services324 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
238 services220 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
94 services94 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
21 services18 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers18 claims50 services$29.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Oncology)
160 E 34TH ST
NEW YORK, NY 10016
Pharmacist (Ambulatory Care)
160 E 34TH ST
NEW YORK, NY 10016
Obstetrics & Gynecology (Gynecologic Oncology)
160 E 34TH ST, 4TH FL.
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
160 E 34TH ST
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
160 E 34TH ST, 9TH FLOOR
NEW YORK, NY 10016
Nurse Practitioner (Adult Health)
160 E 34TH ST
NEW YORK, NY 10016
Internal Medicine (Hematology & Oncology)
160 E 34TH ST
NEW YORK, NY 10016
Internal Medicine (Hematology & Oncology)
160 E 34TH ST
NEW YORK, NY 10016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Hiotis's NPI number?

The NPI number for Karen Hiotis is 1003817065. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Karen Hiotis located?

Karen Hiotis practices at 160 E 34th St 4th Floor, New York, NY 10016. The listed phone number is (212) 731-5180.

What is Karen Hiotis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Karen Hiotis enrolled in Medicare?

Yes. Karen Hiotis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Karen Hiotis affiliated with any hospitals?

According to CMS data, Karen Hiotis is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Karen Hiotis was last updated on March 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.