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KAREN F GIARDINO MD (ENDOCRINOLOGIST)
NPI 1023175361
Internal Medicine - Endocrinology, Diabetes & Metabolism in Williamsville, NY

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
72.8/100
CMS Quality Rating
5530 SHERIDAN DR, 1B, WILLIAMSVILLE, NY 14221(716) 636-8357(716) 636-1369 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen F Giardino Md (endocrinologist) NPPES

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

KAREN F GIARDINO MD (ENDOCRINOLOGIST) (NPI 1023175361) is an individual endocrinology, diabetes & metabolism provider in Williamsville, New York, licensed in New York (164685-1) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (1985).

NPPES Registry Identity

NPI1023175361
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKAREN F GIARDINOCredential: MD (ENDOCRINOLOGIST)
Location Address5530 SHERIDAN DR, 1BWilliamsville, NY 14221-3730
Mailing Address5530 Sheridan Dr, 1bWilliamsville, NY 14221-3730 · (716) 636-8357 · Fax (716) 636-1369
Phone(716) 636-8357
Fax(716) 636-1369
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1985
Enumeration DateJanuary 3, 2007
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1023175361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in NY · 164685-1✔ Licensed in NY · 1646851
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5530 SHERIDAN DR, Williamsville, NY 14221
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Other Identifiers 10

Medicare ID-Type Unspecified11504CNY
Other00010063102Unicare
Medicaid01210599NY
Medicare PIN11504A
Other0005270941Bc/bs
Other00527094001Bc Bs
Medicare UPINE62939
Other00010063102Univera
Other1023175361NY · Individual Npi
Other2208588Independent Health

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 F Giardino Md (endocrinologist) 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 ID1658440037
PECOS Enrollment IDI20080527000725
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 3

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services16 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

72.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost88.81

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers22 claims22 services$188.71 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 4

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

EMILY ANNE HILLMAN PA-C
Physician Assistant (Medical)
5530 SHERIDAN DR
WILLIAMSVILLE, NY 14221
Erie County (716) 580-3810
MS. ALEXIS LENA SWEENEY AGACNP
Nurse Practitioner (Acute Care)
5530 SHERIDAN DR
WILLIAMSVILLE, NY 14221
Erie County (716) 565-1978
SUSANNE WILK-SCHANK RN,MS,FNP
Clinical Nurse Specialist (Adult Health)
5530 SHERIDAN DR, 1B
WILLIAMSVILLE, NY 14221
Erie County (716) 636-1947
MARGARET M GUGLIUZZA NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
5530 SHERIDAN DR, 1B
WILLIAMSVILLE, NY 14221
Erie County (716) 636-1947

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 Giardino's NPI number?

The NPI number for Karen Giardino is 1023175361. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Karen Giardino located?

Karen Giardino practices at 5530 Sheridan Dr 1B, Williamsville, NY 14221. The listed phone number is (716) 636-8357.

What is Karen Giardino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Karen Giardino enrolled in Medicare?

Yes. Karen Giardino 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 Giardino affiliated with any hospitals?

According to CMS data, Karen Giardino is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Karen Giardino was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.