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KARLY SGAGLIONE PA-C
NPI 1194242065
Physician Assistant in Baltimore, MD

Active since August 23, 2017PECOS Enrolled
74.39/100
CMS Quality Rating
1800 ORLEANS ST RM 5314, BALTIMORE, MD 21287(410) 955-5000(410) 367-2148 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2023, Sep 10, 2019, Feb 22, 2019 and 1 more (4 updates tracked since 2017).

About Karly Sgaglione Pa-c NPPES

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

KARLY SGAGLIONE PA-C (NPI 1194242065) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0006511) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194242065
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKARLY SGAGLIONECredential: PA-C
Location Address1800 ORLEANS ST RM 5314Baltimore, MD 21287-0010
Mailing Address3215 Elliott StBaltimore, MD 21224 · (443) 797-3912
Phone(410) 955-5000
Fax(410) 367-2148
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 23, 2017
Last NPPES UpdateNovember 2, 20234 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1194242065 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 MD · C0006511
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.
1800 ORLEANS ST RM 5314, Baltimore, MD 21287
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karly Sgaglione Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052651676
PECOS Enrollment IDI20190319000929
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.

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.
20 services20 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.
13 services13 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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 Karly Sgaglione's NPI number?

The NPI number for Karly Sgaglione is 1194242065. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Karly Sgaglione located?

Karly Sgaglione practices at 1800 Orleans St Rm 5314, Baltimore, MD 21287. The listed phone number is (410) 955-5000.

What is Karly Sgaglione's specialty?

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

Is Karly Sgaglione enrolled in Medicare?

Yes. Karly Sgaglione is registered in the Medicare PECOS enrollment system.

Is Karly Sgaglione affiliated with any hospitals?

According to CMS data, Karly Sgaglione is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Karly Sgaglione was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.