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KAREN JEAN POLEY MD
NPI 1477549368
Obstetrics & Gynecology in Brighton, MA

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
11 NEVINS ST., STE 407, BRIGHTON, MA 02135(617) 783-0095(617) 783-4460 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Jean Poley Md NPPES

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

KAREN JEAN POLEY MD (NPI 1477549368) is an individual obstetrics & gynecology provider in Brighton, Massachusetts, licensed in Massachusetts (156685) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1477549368
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKAREN JEAN POLEYCredential: MD
Location Address11 NEVINS ST., STE 407Brighton, MA 02135
Mailing Address77 Warren St, Rm 339Brookline, MA 02135 · (617) 562-5359 · Fax (617) 562-5415
Phone(617) 783-0095
Fax(617) 783-4460
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1994
Enumeration DateSeptember 26, 2005
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1477549368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 156685
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.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 156685 (MA)
11 NEVINS ST., Brighton, MA 02135
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Secondary Practice Location 1

Location 1480 Pleasant St Ste A200Watertown, MA 02472-2462 · Phone (617) 356-8282 · Fax (857) 737-3401

Other Identifiers 1

Medicaid3181553MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Jean Poley 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 ID1254495112
PECOS Enrollment IDI20090122000111
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 2

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.

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.
25 services25 patients
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.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by C. D. December 6, 2024

5/5
The best gynecologist I have ever had. She is very sharp, and one of the finest human beings I have ever known. She is also both kind and ethical. Values are crucial in a doctor today because there are rivers of private equity flowing into private medical practices. She also stays on top of evolving medical treatments. Sadly, too many ObGyn's do not, and that hurts women.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 11

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

ANN T SWEENEY M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11 NEVINS ST., SUITE 202
BRIGHTON, MA 02135
Suffolk County (617) 779-6700
DR. EDUARDO ALBERTO VEGA PIZARRO MD
Surgery
11 NEVINS ST., SUITE 201
BOSTON, MA 02135
Suffolk County (617) 789-2442
HEATHER HUENE PA
Physician Assistant
11 NEVINS ST., SUITE 306
BRIGHTON, MA 02135
Suffolk County (617) 789-2045
VITOR HUGO MACHADO VILELA M.D.
Internal Medicine
11 NEVINS ST., SUITE 304
BOSTON, MA 02135
Suffolk County (617) 560-0712
MIHAELA BLENDEA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11 NEVINS ST., SUITE 202
BRIGHTON, MA 02135
Suffolk County (617) 779-6700
VAIDYANATHAPURAM BALAKRISHNAN M.D.
Internal Medicine (Nephrology)
11 NEVINS ST., SUITE 202 SEMC - MEDICAL SPECIALTIES PRACTICE
BRIGHTON, MA 02135
Suffolk County (617) 779-6700
RACHEL MARIE MORRA PA
Physician Assistant
11 NEVINS ST., SUITE 306
BRIGHTON, MA 02135
Suffolk County (617) 789-2045
SAMARA PENA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11 NEVINS ST., SUITE 202
BRIGHTON, MA 02135
Suffolk County (617) 779-6700

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 Poley's NPI number?

The NPI number for Karen Poley is 1477549368. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Karen Poley located?

Karen Poley practices at 11 Nevins St. Ste 407, Brighton, MA 02135. The listed phone number is (617) 783-0095.

What is Karen Poley's specialty?

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

Is Karen Poley enrolled in Medicare?

Yes. Karen Poley 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 Poley accept?

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

According to CMS data, Karen Poley is affiliated with Mount Auburn Hospital, St Elizabeth's Medical Center and Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Karen Poley was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.