KAREN S. BARBOSA D.O.
NPI 1568472355
Surgery in Rehoboth Beach, DE

Q: What is Karen Barbosa's NPI number?

The NPI number for Karen Barbosa is 1568472355. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Karen Barbosa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Karen Barbosa was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

18941 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971(302) 703-3595(833) 629-0784 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2026, Dec 12, 2024 (2 updates tracked since 2024).

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About Karen S. Barbosa D.o. NPPES

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

KAREN S. BARBOSA D.O. (NPI 1568472355) is an individual surgery provider in Rehoboth Beach, Delaware, licensed in Delaware (C2-0023961) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1568472355

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameKAREN S. BARBOSACredential: D.O.

Location Address18941 JOHN J WILLIAMS HWYRehoboth Beach, DE 19971-4404

Mailing Address1515 Savannah RdLewes, DE 19958-1675 · (302) 645-3499 · Fax (302) 644-4830

Phone(302) 703-3595

Fax(833) 629-0784

Sole ProprietorYes

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2001

Enumeration DateAugust 8, 2006

Last NPPES UpdateMay 14, 20262 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1568472355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in DE · C2-0023961✔ Licensed in OH · 34008785✔ Licensed in AK · 8311

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.

18941 JOHN J WILLIAMS HWY, Rehoboth Beach, DE 19971

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Other Identifiers 1

Medicaid2675172OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 S. Barbosa D.o. 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 ID7113923962

PECOS Enrollment IDI20210923000511

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 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.

71 services58 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

67 services49 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

43 services43 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

13 services11 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19971 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

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 5

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

OCEAN ENDOSCOPY CENTER LLC

Clinic/Center (Ambulatory Surgical)