MATTHEW E KAREN MD
NPI 1477519833
Otolaryngology in Stockbridge, GA
About Matthew E Karen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW E KAREN MD (NPI 1477519833) is an individual otolaryngology provider in Stockbridge, Georgia, licensed in Georgia (93362) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses 2
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
Matthew E Karen 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar West Georgia Medical Center
Acute Care Hospitals · Lagrange, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Karen's NPI number?
The NPI number for Matthew Karen is 1477519833. It was assigned to this individual provider in the NPPES registry on April 25, 2006.
Where is Matthew Karen located?
Matthew Karen practices at 1365 Rock Quarry Rd Ste 300, Stockbridge, GA 30281. The listed phone number is (770) 740-1860.
What is Matthew Karen's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Matthew Karen enrolled in Medicare?
Yes. Matthew Karen 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 Matthew Karen accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Matthew Karen 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 Matthew Karen affiliated with any hospitals?
According to CMS data, Matthew Karen is affiliated with Wellstar West Georgia Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Karen was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.