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KAREN HOUCK MD
NPI 1154393205
Obstetrics & Gynecology - Gynecologic Oncology in Philadelphia, PA

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
5401 OLD YORK RD STE 410, PHILADELPHIA, PA 19141(215) 456-6990(267) 763-1035 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2026, Aug 8, 2018, Mar 21, 2017 (3 updates tracked since 2017).

About Karen Houck Md NPPES

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

KAREN HOUCK MD (NPI 1154393205) is an individual gynecologic oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD073770L) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and maintains a secondary practice location in Jenkintown.

NPPES Registry Identity

NPI1154393205
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameKAREN HOUCKCredential: MD
Location Address5401 OLD YORK RD STE 410Philadelphia, PA 19141-3046
Mailing Address5401 Old York Rd Ste 410Philadelphia, PA 19141-3046 · (215) 456-6990 · Fax (267) 763-1035
Phone(215) 456-6990
Fax(267) 763-1035
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1994
Enumeration DateFebruary 3, 2006
Last NPPES UpdateMay 5, 20263 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1154393205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in PA · MD073770L
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
5401 OLD YORK RD STE 410, Philadelphia, PA 19141
Open in Google Maps ↗

Secondary Practice Location 1

Location 1201 Old York Rd Ste 202Jenkintown, PA 19046-3707 · Phone (267) 763-1030 · Fax (267) 763-1035

Other Identifiers 1

OtherMD073770LPA · Gyn Oncology

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Houck 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 ID1254236748
PECOS Enrollment IDI20031208000111
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Houck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan, Inc.
Same address
Ophthalmology
5401 OLD YORK RD, SUITE 201
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1154419166 (215) 456-7150
Temple Faculty Practice Plan, Inc
2.2 mi
Otolaryngology
3509 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1023591781 (215) 707-3663

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
45 services33 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.
43 services16 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.
14 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

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 Houck's NPI number?

The NPI number for Karen Houck is 1154393205. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Karen Houck located?

Karen Houck practices at 5401 Old York Rd Ste 410, Philadelphia, PA 19141. The listed phone number is (215) 456-6990.

What is Karen Houck's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Karen Houck enrolled in Medicare?

Yes. Karen Houck 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.

Which organizations bill Medicare for Karen Houck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Houck reassigns Medicare benefits to 2 organizations: Einstein Practice Plan, Inc. (Philadelphia, PA) and Temple Faculty Practice Plan, Inc (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Houck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Houck accept?

Health plans from Oscar Health list Karen Houck 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 Houck affiliated with any hospitals?

According to CMS data, Karen Houck is affiliated with Temple University Hospital and Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Houck was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.