KAREN ANN HAWLEY M.D.
NPI 1437323748
Otolaryngology - Pediatric Otolaryngology in Madison, WI
About Karen Ann Hawley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN ANN HAWLEY M.D. (NPI 1437323748) is an individual pediatric otolaryngology provider in Madison, Wisconsin, licensed in New Mexico (MD2015-0525) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains a secondary practice location in Albuquerque.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Karen Ann Hawley 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.
Medicare Billing Reassignments
2Medicare enrollment records show Karen Hawley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 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.
Unm Hospital
Acute Care Hospitals · Albuquerque, NMMedicare 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.
MADISON, WI 53792
MADISON, WI 53792
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 Hawley's NPI number?
The NPI number for Karen Hawley is 1437323748. It was assigned to this individual provider in the NPPES registry on April 17, 2008.
Where is Karen Hawley located?
Karen Hawley practices at 1675 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6420.
What is Karen Hawley's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.
Is Karen Hawley enrolled in Medicare?
Yes. Karen Hawley 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 Hawley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Hawley reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Unm Medical Group Inc (Albuquerque, NM). 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 Hawley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Hawley accept?
Health plans from CHRISTUS Health Plan list Karen Hawley 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 Hawley affiliated with any hospitals?
According to CMS data, Karen Hawley is affiliated with Unm Hospital.
When was this NPI record last updated?
The NPPES record for Karen Hawley was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Karen Ann Hawley, M.D. · NPI 1437323748
Pediatric Otolaryngology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 17, 2008.
## Identity
- **NPI:** 1437323748 (Entity type: Individual)
- **Enumerated:** April 17, 2008
- **Primary specialty:** Otolaryngology - Pediatric Otolaryngology · taxonomy 207YP0228X
- **State license:** MD2015-0525 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1675 HIGHLAND AVE, Madison, WI 53792-0002
- **Phone:** (608) 263-6420
## 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): University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI); Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1437323748) · Data from the CMS NPPES public registry.