KAREN CASTORO FNP
NPI 1306807896
Nurse Practitioner - Family in Johnson City, NY

Active since April 01, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
401 MAIN ST STE 1, JOHNSON CITY, NY 13790(607) 754-9870(607) 785-9862 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2020, Apr 9, 2019, Jan 16, 2018 (3 updates tracked since 2018).

About Karen Castoro Fnp NPPES

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

KAREN CASTORO FNP (NPI 1306807896) is an individual family provider in Johnson City, New York, licensed in New York (F332763-1) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1306807896
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN CASTOROCredential: FNP
Location Address401 MAIN ST STE 1Johnson City, NY 13790-2065
Mailing Address401 Main St Ste 1Johnson City, NY 13790-2065 · (607) 754-9870 · Fax (607) 785-9862
Fax(607) 785-9862
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 1, 2006
Last NPPES UpdateJanuary 17, 20203 updates tracked since enumeration
NPI 1306807896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F332763-1
401 MAIN ST STE 1, Johnson City, NY 13790

Other Identifiers 1

Medicaid2110772NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karen Castoro Fnp 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 ID6002905171
PECOS Enrollment IDI20071128000219
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 5

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 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.
61 services47 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
18 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

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.

Advanced Practice Midwife
401 MAIN ST STE 1
JOHNSON CITY, NY 13790
Nurse Practitioner (Adult Health)
401 MAIN ST STE 1
JOHNSON CITY, NY 13790
Obstetrics & Gynecology
401 MAIN ST STE 1
JOHNSON CITY, NY 13790
Nurse Practitioner
401 MAIN ST STE 1
JOHNSON CITY, NY 13790
Obstetrics & Gynecology
401 MAIN ST STE 1
JOHNSON CITY, NY 13790
Nurse Practitioner (Family)
401 MAIN ST STE 1
JOHNSON CITY, NY 13790

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 Castoro's NPI number?

The NPI number for Karen Castoro is 1306807896. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Karen Castoro located?

Karen Castoro practices at 401 Main St Ste 1, Johnson City, NY 13790. The listed phone number is (607) 754-9870.

What is Karen Castoro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Castoro enrolled in Medicare?

Yes. Karen Castoro 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.

Is Karen Castoro affiliated with any hospitals?

According to CMS data, Karen Castoro is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Karen Castoro was last updated on January 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.