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DR. KAREN MARY TOUJOUSE M.D.
NPI 1447216890
Obstetrics & Gynecology in S Weymouth, MA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
74.75/100
CMS Quality Rating
90 LIBBEY PARKWAY, SUITE 105, S WEYMOUTH, MA 02189(339) 201-4120(781) 545-8117 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karen Mary Toujouse M.d. NPPES

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

DR. KAREN MARY TOUJOUSE M.D. (NPI 1447216890) is an individual obstetrics & gynecology provider in S Weymouth, Massachusetts, licensed in Massachusetts (156643) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1994).

NPPES Registry Identity

NPI1447216890
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KAREN MARY TOUJOUSECredential: M.D.
Location Address90 LIBBEY PARKWAY, SUITE 105S Weymouth, MA 02189
Mailing AddressPo Box 188S Weymouth, MA 02190 · (339) 201-4120 · Fax (781) 545-8117
Phone(339) 201-4120
Fax(781) 545-8117
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1994
Enumeration DateApril 25, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1447216890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 156643
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
90 LIBBEY PARKWAY, S Weymouth, MA 02189
Open in Google Maps ↗

Other Identifiers 4

OtherJ19490Bcbs
Medicaid3183394MA
Medicare UPING72701
Medicare ID-Type UnspecifiedA28543

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

Dr. Karen Mary Toujouse 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 ID8123091535
PECOS Enrollment IDI20090713000394
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.

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.

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.
82 services51 patients
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.
80 services80 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.
25 services25 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.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02189 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
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

74.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.2
Promoting Interoperability77
Improvement Activities40
Cost64.8

Other Providers at the Same Location NPPES 9

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

DR. CHRISTINE DAILEY HIRSEMANN M.D.
Obstetrics & Gynecology
90 LIBBEY PARKWAY, SUITE 105
S WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
DR. HOLLY MICHELE LEEMAN M.D.
Obstetrics & Gynecology
90 LIBBEY PARKWAY, SUITE 105
WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
KIMBERLY A DEVER M.D.
Obstetrics & Gynecology
90 LIBBEY PARKWAY, SUITE 105
S WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
MARY HOGAN-DONALDSON CNM
Advanced Practice Midwife
90 LIBBEY PARKWAY, SUITE 105
S WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
DR. JULIANNE ARENA M.D.
Obstetrics & Gynecology
90 LIBBEY PARKWAY, SUITE 105
S WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
DR. DARLYNE A JOHNSON M.D.
Obstetrics & Gynecology
90 LIBBEY PARKWAY, SUITE 105
S WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
SOUTH SHORE WOMEN'S HEALTH, PC
Obstetrics & Gynecology
90 LIBBEY PARKWAY, SUITE 105
S WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
CAROLYN MARTHA MCNULTY D.O.
Obstetrics & Gynecology
90 LIBBEY PARKWAY, SUITE 105
S WEYMOUTH, MA 02189
Norfolk County (339) 201-4120

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 Toujouse's NPI number?

The NPI number for Karen Toujouse is 1447216890. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Karen Toujouse located?

Karen Toujouse practices at 90 Libbey Parkway Suite 105, S Weymouth, MA 02189. The listed phone number is (339) 201-4120.

What is Karen Toujouse's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karen Toujouse enrolled in Medicare?

Yes. Karen Toujouse 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.

Is Karen Toujouse affiliated with any hospitals?

According to CMS data, Karen Toujouse is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Karen Toujouse was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.