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KAREN MARIE KISH MD
NPI 1124015953
Obstetrics & Gynecology in Austin, TX

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1301 W 38TH ST, STE 300, AUSTIN, TX 78705(512) 454-5721(512) 454-2801 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Marie Kish Md NPPES

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

KAREN MARIE KISH MD (NPI 1124015953) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (M2369) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Temple University School Of Medicine (1999).

NPPES Registry Identity

NPI1124015953
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKAREN MARIE KISHCredential: MD
Location Address1301 W 38TH ST, STE 300Austin, TX 78705-1000
Mailing Address1301 W 38th St, Ste 300Austin, TX 78705-1000 · (512) 454-5721 · Fax (512) 454-2801
Phone(512) 454-5721
Fax(512) 454-2801
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1999
Enumeration DateOctober 6, 2005
Last NPPES UpdateMay 15, 2014
✔ NPI 1124015953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · M2369
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1301 W 38TH ST, Austin, TX 78705
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI15432TX
Medicaid185273302TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Karen Marie Kish 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 ID7214904697
PECOS Enrollment IDI20051216000332
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
47 services47 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
39 services37 patients
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.
37 services31 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
76%45 patients4/55-star benchmark: 93%
Cervical Cancer Screening
94%133 patients4/55-star benchmark: 98%
e-Prescribing
100%1,066 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%155 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
44%160 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 108 patients
0%108 patients
Provide Patients Electronic Access to Their Health Information
93%1,005 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

WILLIAM R WOODWARD MD
Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Travis County (512) 454-5171
TEXAS CARDIOVASCULAR CONSULTANTS, PA
Internal Medicine (Cardiovascular Disease)
1301 W 38TH ST, SUITE 705
AUSTIN, TX 78705
Travis County (512) 617-6000
DR. KEVIN J. BOZIC MD
Orthopaedic Surgery
1301 W 38TH ST, STE 102
AUSTIN, TX 78705
Travis County (512) 454-4561
MEGAN LYN MCCOIN MD
Obstetrics & Gynecology
1301 W 38TH ST, SUITE 300
AUSTIN, TX 78705
Travis County (512) 454-5721
AMANDA MAEGHAN HERRERA LCSW-S
Social Worker (Clinical)
1301 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-3380
MARK J PIRWITZ MD, FACC
Internal Medicine (Interventional Cardiology)
1301 W 38TH ST, SUITE 400
AUSTIN, TX 78705
Travis County (512) 324-3440
MATTHEW C ROBINSON M.D.
Internal Medicine (Infectious Disease)
1301 W 38TH ST, SUITE 403
AUSTIN, TX 78705
Travis County (512) 459-0301
ZAHIR A MOMIN MD
Internal Medicine
1301 W 38TH ST, #205
AUSTIN, TX 78705
Travis County (512) 324-1864

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 Kish's NPI number?

The NPI number for Karen Kish is 1124015953. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Karen Kish located?

Karen Kish practices at 1301 W 38th St Ste 300, Austin, TX 78705. The listed phone number is (512) 454-5721.

What is Karen Kish's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karen Kish enrolled in Medicare?

Yes. Karen Kish 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 Karen Kish accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Karen Kish 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 Karen Kish affiliated with any hospitals?

According to CMS data, Karen Kish is affiliated with Ascension Seton Medical Center Austin and St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Kish was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.