KAREN MA MD
NPI 1306293246
Internal Medicine in New York, NY

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
89.61/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2020, May 20, 2016 (2 updates tracked since 2016).

About Karen Ma Md NPPES

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

KAREN MA MD (NPI 1306293246) is an individual internal medicine provider in New York, New York, licensed in New York (297439) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2016).

NPPES Registry Identity

NPI1306293246
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN MACredential: MD
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 639-2000
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1306293246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 297439
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.
1275 YORK AVE, New York, NY 10065

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 Ma 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 ID1254661861
PECOS Enrollment IDI20190925000768
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 Ma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 428 clinicians in this Medicare group
Internal Medicine
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 315 clinicians in this Medicare group
Urology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 248 clinicians in this Medicare group
Medical Oncology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 259 clinicians in this Medicare group
Internal Medicine
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 514 clinicians in this Medicare group

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services89 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

89.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.89
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Ma's NPI number?

The NPI number for Karen Ma is 1306293246. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Karen Ma located?

Karen Ma practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Karen Ma's specialty?

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

Is Karen Ma enrolled in Medicare?

Yes. Karen Ma 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 Ma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Ma reassigns Medicare benefits to 5 organizations: Memorial Hematology Lymphoma Group (New York, NY), Memorial Medical Consultation Group (New York, NY), Mskcc Clinical Practice Plan (New York, NY), Memorial Developmental Chemo Group (New York, NY) and Memorial Solid Tumor Group (New York, NY). 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 Ma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Ma was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.