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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARLA FRANCO PA
NPI 1053023390
Physician Assistant in New York, NY

Active since December 19, 2022PECOS Enrolled
500 W 181ST ST., NEW YORK, NY 10033(212) 396-1174 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 2, 2026, Feb 13, 2023, Dec 19, 2022 (3 updates tracked since 2022).

About Karla Franco Pa NPPES

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

KARLA FRANCO PA (NPI 1053023390) is an individual physician assistant in New York, New York, licensed in New York (035316) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053023390
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKARLA FRANCOCredential: PA
Location Address500 W 181ST ST.New York, NY 10033
Mailing Address1 Research RdRidge, NY 11961-2701
Phone(212) 396-1174
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 19, 2022
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1053023390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 035316
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 W 181ST ST., New York, NY 10033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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

Karla Franco Pa 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 ID7911370523
PECOS Enrollment IDI20230301003081
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

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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10033 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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.

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 Karla Franco's NPI number?

The NPI number for Karla Franco is 1053023390. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Where is Karla Franco located?

Karla Franco practices at 500 W 181st St., New York, NY 10033. The listed phone number is (212) 396-1174.

What is Karla Franco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karla Franco enrolled in Medicare?

Yes. Karla Franco 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.

What insurance does Karla Franco accept?

Health plans from Oscar Health Maintenance Organization of Florida list Karla Franco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karla Franco affiliated with any hospitals?

According to CMS data, Karla Franco is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Karla Franco was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.