KARLEY J DUTRA MD
NPI 1396242723
Obstetrics & Gynecology in Charleston, SC
About Karley J Dutra Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARLEY J DUTRA MD (NPI 1396242723) is an individual obstetrics & gynecology provider in Charleston, South Carolina, licensed in South Carolina (87928) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Drexel University College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Karley J Dutra 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.
Medicare Billing Reassignments
2Medicare enrollment records show Karley Dutra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 335 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLESTON, SC 29425
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 Karley Dutra's NPI number?
The NPI number for Karley Dutra is 1396242723. It was assigned to this individual provider in the NPPES registry on April 11, 2018.
Where is Karley Dutra located?
Karley Dutra practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Karley Dutra's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Karley Dutra enrolled in Medicare?
Yes. Karley Dutra 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 Karley Dutra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karley Dutra reassigns Medicare benefits to 2 organizations: Drexel University (Philadelphia, PA) and Jefferson University Physicians (Philadelphia, PA). 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 Karley Dutra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karley Dutra accept?
Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Karley Dutra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Karley Dutra affiliated with any hospitals?
According to CMS data, Karley Dutra is affiliated with Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Karley Dutra was last updated on May 20, 2024. 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.
# Karley J Dutra, MD · NPI 1396242723
Obstetrics & Gynecology physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1396242723 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 87928 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-4420
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Drexel University (NPI 1356458772, Philadelphia, PA); Jefferson University Physicians (NPI 1326093675, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** May 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396242723) · Data from the CMS NPPES public registry.