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KAREN ARLENE DIAS-MARTIN M.D.
NPI 1407914542
Obstetrics & Gynecology - Gynecology in Glen Ridge, NJ

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
200 HIGHLAND AVE, SUITE 230, GLEN RIDGE, NJ 07028(973) 743-8585(973) 743-1549 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen Arlene Dias-martin M.d. NPPES

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

KAREN ARLENE DIAS-MARTIN M.D. (NPI 1407914542) is an individual gynecology provider in Glen Ridge, New Jersey, licensed in New Jersey (25MA05696100) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1984).

NPPES Registry Identity

NPI1407914542
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameKAREN ARLENE DIAS-MARTINCredential: M.D.
Location Address200 HIGHLAND AVE, SUITE 230Glen Ridge, NJ 07028-1528
Mailing Address200 Highland Ave, Suite 230Glen Ridge, NJ 07028-1528 · (973) 743-8585 · Fax (973) 743-1549
Phone(973) 743-8585
Fax(973) 743-1549
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1984
Enumeration DateDecember 4, 2006
Last NPPES UpdateJanuary 27, 2020
✔ NPI 1407914542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NJ · 25MA05696100
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
200 HIGHLAND AVE, Glen Ridge, NJ 07028
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Karen Arlene Dias-martin 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 ID7113249954
PECOS Enrollment IDI20141204001779
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 Reassignment

Medicare enrollment records show Karen Dias-martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA
14 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300

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 6

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.

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.
167 services167 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.
164 services164 patients
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.
72 services60 patients
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624
This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.
20 services20 patients
Bacterial culture, any other source except urine, blood or stool, aerobic 87070
A bacterial culture is a test that helps identify harmful bacteria in your body. In this case, a sample from any part other than urine, blood or stool is collected. The sample is placed in a special environment to promote bacteria growth. It helps in diagnosing infections and determining the best treatment.
19 services15 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

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

MONTCLAIR GASTROENTEROLOGY CONSULTANTS, LLC
Internal Medicine (Gastroenterology)
200 HIGHLAND AVE, SUITE 110
GLEN RIDGE, NJ 07028
Essex County (973) 748-9166
LLOYD I. S. ZBAR, MD, PA
Otolaryngology
200 HIGHLAND AVE, SUITE 250
GLEN RIDGE, NJ 07028
Essex County (973) 744-2424
MONTCLAIR ORTHOPAEDIC GROUP PA
Orthopaedic Surgery
200 HIGHLAND AVE
GLEN RIDGE, NJ 07028
Essex County (973) 746-2200

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 Dias-martin's NPI number?

The NPI number for Karen Dias-martin is 1407914542. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Karen Dias-martin located?

Karen Dias-martin practices at 200 Highland Ave Suite 230, Glen Ridge, NJ 07028. The listed phone number is (973) 743-8585.

What is Karen Dias-martin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Karen Dias-martin enrolled in Medicare?

Yes. Karen Dias-martin 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 organization bills Medicare for Karen Dias-martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Dias-martin reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The 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 Dias-martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Dias-martin accept?

Health plans from Oscar Health list Karen Dias-martin 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 Karen Dias-martin affiliated with any hospitals?

According to CMS data, Karen Dias-martin is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Dias-martin was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.