KAREN M GIRARD MD
NPI 1457315616
Obstetrics & Gynecology in Chestnut Hill, MA

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
850 BOYLSTON STREET, SUITE 575, CHESTNUT HILL, MA 02467(617) 732-9100 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen M Girard Md NPPES

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

KAREN M GIRARD MD (NPI 1457315616) is an individual obstetrics & gynecology provider in Chestnut Hill, Massachusetts, licensed in Massachusetts (150993) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1992).

NPPES Registry Identity

NPI1457315616
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKAREN M GIRARDCredential: MD
Location Address850 BOYLSTON STREET, SUITE 575Chestnut Hill, MA 02467
Mailing Address850 Boylston Street, Suite 575Chestnut Hill, MA 02467 · (617) 732-9100
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1992
Enumeration DateApril 14, 2006
Last NPPES UpdateAugust 27, 2014
NPI 1457315616 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 · 150993
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.
850 BOYLSTON STREET, Chestnut Hill, MA 02467

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 M Girard Md 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 ID941296651
PECOS Enrollment IDI20040420001440
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 5

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.
148 services142 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.
49 services49 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.
27 services27 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.
17 services17 patients
Biopsy of lining of uterus 58100
A biopsy of the uterus lining is a medical procedure where a small sample of tissue is taken from the inner layer of your uterus. This is done to check for any abnormal cells or conditions. It's a common, quick process that helps in diagnosing various health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex 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 02467 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.

Other Providers at the Same Location NPPES 14

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

Obstetrics & Gynecology
850 BOYLSTON STREET, SUITE 575 BRIGHAM OBSTETRICS AND GYNECOLOGY GROUP
CHESTNUT HILL, MA 02467
Internal Medicine
850 BOYLSTON STREET, SUITE 530 BRIGHAM AND WOMENS HOSPITAL PHYSICIAN GROUP
CHESTNUT HILL, MA 02467
Obstetrics & Gynecology
850 BOYLSTON STREET, SUITE 575
CHESTNUT HILL, MA 02467
Internal Medicine
850 BOYLSTON STREET, SUITE 402
CHESTNUT HILL, MA 02467
Psychiatry & Neurology (Psychiatry)
850 BOYLSTON STREET, SUITE 402
CHESTNUT HILL, MA 02467
Internal Medicine
850 BOYLSTON STREET, BRIGHAM AND WOMEN'S PHYSICIAN GROUP
CHESTNUT HILL, MA 02467
Internal Medicine
850 BOYLSTON STREET, BRIGHAM AND WOMENS PHYSICIAN GROUP
CHESTNUT HILL, MA 02467
Physical Therapist
850 BOYLSTON STREET, SUITE 200
CHESTNUT HILL, MA 02467

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 Girard's NPI number?

The NPI number for Karen Girard is 1457315616. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Karen Girard located?

Karen Girard practices at 850 Boylston Street Suite 575, Chestnut Hill, MA 02467. The listed phone number is (617) 732-9100.

What is Karen Girard's specialty?

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

Is Karen Girard enrolled in Medicare?

Yes. Karen Girard 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 Girard accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Girard 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 Girard affiliated with any hospitals?

According to CMS data, Karen Girard is affiliated with Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Karen Girard was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.