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KAREN AVGUSH
NPI 1154701720
Internal Medicine in Garnerville, NY

Active since June 09, 2015PECOS EnrolledAccepts Medicare Assignment
2 SUFFERN LN, GARNERVILLE, NY 10923(845) 429-1800 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Avgush NPPES

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

KAREN AVGUSH (NPI 1154701720) is an individual internal medicine provider in Garnerville, New York, licensed in Pennsylvania (MT209309) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1154701720
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN AVGUSH
Location Address2 SUFFERN LNGarnerville, NY 10923-1311
Mailing Address2 Suffern LnGarnerville, NY 10923-1311 · (845) 429-1800
Phone(845) 429-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 9, 2015
Last NPPES UpdateFebruary 28, 2019
✔ NPI 1154701720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT209309
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2 SUFFERN LN, Garnerville, NY 10923
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Secondary Practice Location 1

Location 11001 S George St, York HospitalYork, PA 17403-3676 · Phone (717) 741-8003 · Fax (717) 741-8016

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Oscar Health Insurance.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 Avgush 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 ID8628388329
PECOS Enrollment IDI20241104001424
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

5

Medicare enrollment records show Karen Avgush reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Medical Group
100 mi
Transplant Surgery
8835 GERMANTOWN AVE
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1306476924 (484) 628-7700
Prospect Health Access Network, Inc.
110 mi
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1255786729 (610) 626-7070
United Health Services Hospitals, Inc.
119 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027
United Medical Associates PC
119 mi
Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 clinicians in this Medicare group
NPI 1013972801 (607) 770-0025
Mount Carmel Health System
472 mi
Urgent Care
6435 E BROAD ST.
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 258 clinicians in this Medicare group
NPI 1336255918 (614) 355-8150

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
149 services32 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10923 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 6

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

MRS. SALOMI VARGHESE NP
Nurse Practitioner (Adult Health)
2 SUFFERN LN
GARNEVILLE, NY 10923
Rockland County (845) 429-1800
MRS. CECILIA VILLAFUERTE NURSE PRACTITIONER
Nurse Practitioner (Family)
2 SUFFERN LN
GARNERVILLE, NY 10923
Rockland County (845) 429-1800
STEVE TRIKOUNAKIS RPA-C
Physician Assistant
2 SUFFERN LN
GARNERVILLE, NY 10923
Rockland County (845) 429-1800
DR. RACHEL HALEVY-AVGUSH MD
Internal Medicine (Geriatric Medicine)
2 SUFFERN LN
GARNERVILLE, NY 10923
Rockland County (845) 429-1800
ROCKLAND MEDICAL GROUP, PLLC
Internal Medicine
2 SUFFERN LN
GARNERVILLE, NY 10923
Rockland County (845) 429-1800
SIBY THOMAS FNP
Nurse Practitioner (Family)
2 SUFFERN LN
GARNERVILLE, NY 10923
Rockland County (845) 429-1800

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 Avgush's NPI number?

The NPI number for Karen Avgush is 1154701720. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Karen Avgush located?

Karen Avgush practices at 2 Suffern Ln, Garnerville, NY 10923. The listed phone number is (845) 429-1800.

What is Karen Avgush's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Avgush enrolled in Medicare?

Yes. Karen Avgush 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 Avgush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Avgush reassigns Medicare benefits to 5 organizations: Tower Health Medical Group (Philadelphia, PA), Prospect Health Access Network, Inc. (Drexel Hill, PA), United Health Services Hospitals, Inc. (Johnson City, NY), United Medical Associates PC (Binghamton, NY) and Mount Carmel Health System (Columbus, OH). 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 Avgush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Avgush accept?

Health plans from Antidote Health Plan of Ohio, Inc. and Oscar Health Insurance list Karen Avgush 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 Avgush affiliated with any hospitals?

According to CMS data, Karen Avgush is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Karen Avgush was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.