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DR. KAREN Y NI-JONES M.D.
NPI 1548293566
Surgery in Waco, TX

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
50 HILLCREST MEDICAL BLVD, GENERAL SURGERY, WACO, TX 76712(254) 202-7204(254) 202-7298 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Karen Y Ni-jones M.d. NPPES

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

DR. KAREN Y NI-JONES M.D. (NPI 1548293566) is an individual surgery provider in Waco, Texas, licensed in Texas (M3669) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2001).

NPPES Registry Identity

NPI1548293566
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KAREN Y NI-JONESCredential: M.D.
Location Address50 HILLCREST MEDICAL BLVD, GENERAL SURGERYWaco, TX 76712-8952
Mailing Address50 Hillcrest Medical Blvd, General SurgeryWaco, TX 76712-8952 · (254) 202-7204 · Fax (254) 202-7298
Phone(254) 202-7204
Fax(254) 202-7298
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2001
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
✔ NPI 1548293566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · M3669
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
50 HILLCREST MEDICAL BLVD, Waco, TX 76712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. Karen Y Ni-jones 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 ID7315946977
PECOS Enrollment IDI20061207000416
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
16 services16 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
16 services16 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
16 services16 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
15 services15 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 16

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

MRS. CHERRI M WARD NNP-BC
Nurse Practitioner (Neonatal)
50 HILLCREST MEDICAL BLVD
WACO, TX 76712
McLennan County (254) 202-6580
ROBIN LEIGH SANDERS RN, FNP-BC
Nurse Practitioner (Family)
50 HILLCREST MEDICAL BLVD, SUITE 102
WACO, TX 76712
McLennan County (254) 202-7204
DR. CHRISTOPHER WAYNE MIARS D.O.
Family Medicine (Sports Medicine)
50 HILLCREST MEDICAL BLVD, SUITE 303
WACO, TX 76712
McLennan County (254) 741-1400
VENKATA SUBRAHMANYA SASTRY PRAYAGA MD
Internal Medicine (Interventional Cardiology)
50 HILLCREST MEDICAL BLVD
WACO, TX 76712
McLennan County (254) 202-7204
DR. ANDREW PAUL BROCHU D.O.
Otolaryngology
50 HILLCREST MEDICAL BLVD
WACO, TX 76712
McLennan County (254) 202-7950
LAURA IRVIN D.O.
Family Medicine (Sports Medicine)
50 HILLCREST MEDICAL BLVD, STE 208, 303 & 304
WACO, TX 76712
McLennan County (254) 741-1400
DR. ANDY ALLAN HAND M.D.
Surgery (Plastic and Reconstructive Surgery)
50 HILLCREST MEDICAL BLVD, SUITE # 304
WACO, TX 76712
McLennan County (254) 752-2575
MEGHAN DANIELLE SUTTON FNP-C
Nurse Practitioner (Family)
50 HILLCREST MEDICAL BLVD
WACO, TX 76712
McLennan County (254) 202-7900

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 Ni-jones's NPI number?

The NPI number for Karen Ni-jones is 1548293566. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Karen Ni-jones located?

Karen Ni-jones practices at 50 Hillcrest Medical Blvd General Surgery, Waco, TX 76712. The listed phone number is (254) 202-7204.

What is Karen Ni-jones's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Karen Ni-jones enrolled in Medicare?

Yes. Karen Ni-jones 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 Ni-jones accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Karen Ni-jones 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 Ni-jones affiliated with any hospitals?

According to CMS data, Karen Ni-jones is affiliated with Baylor Scott & White Medical Center - Temple and Baylor Scott & White Medical Center Hillcrest.

When was this NPI record last updated?

The NPPES record for Karen Ni-jones was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.