KAREN BENABOU M.D., M.P.H
NPI 1225492374
Emergency Medicine in Forest Hills, NY

Q: What is Karen Benabou's NPI number?

The NPI number for Karen Benabou is 1225492374. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Karen Benabou's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Benabou was last updated on December 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2016PECOS Enrolled

99.95/100

CMS Quality Rating

10201 66TH RD, FOREST HILLS, NY 11375(718) 830-4200 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 28, 2021, May 20, 2021 (2 updates tracked since 2021).

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About Karen Benabou M.d., M.p.h NPPES

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

KAREN BENABOU M.D., M.P.H (NPI 1225492374) is an individual emergency medicine provider in Forest Hills, New York, licensed in New York (307084) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raton.

NPPES Registry Identity

NPI1225492374

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKAREN BENABOUCredential: M.D., M.P.H

Location Address10201 66TH RDForest Hills, NY 11375-2029

Mailing Address353 RidgewayWhite Plains, NY 10605-4120 · (914) 462-2892

Phone(718) 830-4200

Sole ProprietorYes

Enumeration DateApril 5, 2016

Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration

NPPES CertifiedDecember 28, 2021

✔ NPI 1225492374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in NY · 307084✔ Licensed in NM · MD2021-0273

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10201 66TH RD, Forest Hills, NY 11375

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Secondary Practice Location 1

Location 1203 Hospital DrRaton, NM 87740-2012 · Phone (575) 445-7720 · Fax (575) 445-7737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Benabou M.d., M.p.h is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

49 services48 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

27 services24 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

99.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.18

Promoting Interoperability

Improvement Activities

Cost

92.82

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.

NADINE CAMPBELL C.R.N.A.

Nurse Anesthetist, Certified Registered