KAREN ANN HAWLEY M.D.
NPI 1437323748
Otolaryngology - Pediatric Otolaryngology in Madison, WI

Active since April 17, 2008PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
1675 HIGHLAND AVE, MADISON, WI 53792(608) 263-6420 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Mar 18, 2025 (2 updates tracked since 2025).

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, maintains a secondary practice location in Albuquerque, and is a graduate of Boston University School Of Medicine (2008).

NPPES Registry Identity

NPI1437323748
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameKAREN ANN HAWLEYCredential: M.D.
Location Address1675 HIGHLAND AVEMadison, WI 53792-0002
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2008
Enumeration DateApril 17, 2008
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1437323748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License Licensed in NM · MD2015-0525
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
1675 HIGHLAND AVE, Madison, WI 53792

Secondary Practice Location 1

Location 12211 Lomas Blvd NE 2nd Floor, UNM Surgical Specialties ClinicAlbuquerque, NM 87106 · Phone (505) 272-2336

Accepted Insurance

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 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.

PECOS PAC ID2860610599
PECOS Enrollment IDI20150902002194
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 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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Registered Nurse (Lactation Consultant)
1675 HIGHLAND AVE
MADISON, WI 53792
Nurse Practitioner (Pediatrics)
1675 HIGHLAND AVE
MADISON, WI 53792
Speech-Language Pathologist
1675 HIGHLAND AVE
MADISON, WI 53792
Registered Nurse
1675 HIGHLAND AVE
MADISON, WI 53792
Pediatrics (Pediatric Cardiology)
1675 HIGHLAND AVE
MADISON, WI 53792
Pediatrics (Pediatric Hematology-Oncology)
1675 HIGHLAND AVE
MADISON, WI 53792
Student in an Organized Health Care Education/Training Program
1675 HIGHLAND AVE
MADISON, WI 53792
Occupational Therapist
1675 HIGHLAND AVE
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.

What insurance does Karen Hawley accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and 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.

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 13 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.