KAREN BIRGIT POLS M.D.
NPI 1326071382
Family Medicine in Hauppauge, NY

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
1 KINGS HWY, HAUPPAUGE, NY 11788(631) 348-4900(631) 348-0273 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Birgit Pols M.d. NPPES

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

KAREN BIRGIT POLS M.D. (NPI 1326071382) is an individual family medicine provider in Hauppauge, New York, licensed in New York (197600) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Warren Alpert Medical School Of Brown University (1988).

NPPES Registry Identity

NPI1326071382
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN BIRGIT POLSCredential: M.D.
Location Address1 KINGS HWYHauppauge, NY 11788-4216
Mailing Address1 Kings HwyHauppauge, NY 11788-4216 · (631) 348-4900 · Fax (631) 348-0273
Fax(631) 348-0273
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1988
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1326071382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 197600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 KINGS HWY, Hauppauge, NY 11788

Other Identifiers 3

Medicare ID-Type Unspecified0295DCNY
Medicare UPING87985NY
Medicare ID-Type Unspecified5112D1NY

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 Birgit Pols M.d. 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 ID4880693159
PECOS Enrollment IDI20061214000156
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

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.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11788 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

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
Quality91.18
Promoting Interoperability79
Improvement Activities40
Cost92.82

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Adult Health)
1 KINGS HWY
HAUPPAUGE, NY 11788
Internal Medicine
1 KINGS HWY
HAUPPAUGE, NY 11788
Internal Medicine
1 KINGS HWY
HAUPPAUGE, NY 11788
Nurse Practitioner (Psychiatric/Mental Health)
1 KINGS HWY
HAUPPAUGE, NY 11788
Nurse Practitioner (Family)
1 KINGS HWY
HAUPPAUGE, NY 11788
Family Medicine
1 KINGS HWY
HAUPPAUGE, NY 11788
Family Medicine
1 KINGS HWY
HAUPPAUGE, NY 11788
Pediatrics
1 KINGS HWY
HAUPPAUGE, NY 11788

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 Pols's NPI number?

The NPI number for Karen Pols is 1326071382. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Karen Pols located?

Karen Pols practices at 1 Kings Hwy, Hauppauge, NY 11788. The listed phone number is (631) 348-4900.

What is Karen Pols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Pols enrolled in Medicare?

Yes. Karen Pols 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 Pols affiliated with any hospitals?

According to CMS data, Karen Pols is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Pols was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.