KAREN H COSTENBADER MD MPH
NPI 1447216825
Internal Medicine - Rheumatology in Boston, MA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
45 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSP ROBERT B BRIGHAM ARTHRITIS CTR, BOSTON, MA 02115(617) 732-5325 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen H Costenbader Md Mph NPPES

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

KAREN H COSTENBADER MD MPH (NPI 1447216825) is an individual rheumatology provider in Boston, Massachusetts, licensed in Massachusetts (208218) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Harvard Medical School (1995).

NPPES Registry Identity

NPI1447216825
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameKAREN H COSTENBADERCredential: MD MPH
Location Address45 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSP ROBERT B BRIGHAM ARTHRITIS CTRBoston, MA 02115
Mailing Address45 Francis Street, Brigham And Women's Hosp Robert B Brigham Arthritis CtrBoston, MA 02115 · (617) 732-5325
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1995
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447216825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MA · 208218
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
45 FRANCIS STREET, Boston, MA 02115

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 H Costenbader Md Mph 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 ID8628048196
PECOS Enrollment IDI20040730000642
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 Costenbader reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 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.

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 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.
55 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Gastroenterology)
45 FRANCIS STREET, ASB-II
BOSTON, MA 02115
Genetic Counselor, MS
45 FRANCIS STREET, THORN 14TH FLOOR, OFFICE 1410
BOSTON, MA 02115
Otolaryngology
45 FRANCIS STREET, DIVISION OF OTOLARYNGOLOGY
BOSTON, MA 02115
Nurse Practitioner (Adult Health)
45 FRANCIS STREET, ASB 2, FLOOR 3, SUITE B
BOSTON, MA 02115
Otolaryngology
45 FRANCIS STREET, DIVISION OF OTOLARYNGOLOGY, ASB-2
BOSTON, MA 02115

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 Costenbader's NPI number?

The NPI number for Karen Costenbader is 1447216825. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Karen Costenbader located?

Karen Costenbader practices at 45 Francis Street Brigham And Women's Hosp Robert B Brigham Arthritis Ctr, Boston, MA 02115. The listed phone number is (617) 732-5325.

What is Karen Costenbader's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Karen Costenbader enrolled in Medicare?

Yes. Karen Costenbader 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 Costenbader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Costenbader reassigns Medicare benefits to Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Costenbader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Costenbader accept?

Health plans from Taro Health list Karen Costenbader 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 Costenbader affiliated with any hospitals?

According to CMS data, Karen Costenbader is affiliated with Massachusetts General Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Karen Costenbader 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.