Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAREN S. BARBOSA D.O.
NPI 1568472355
Surgery in Glens Falls, NY

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801(518) 926-5600(518) 926-5605 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, May 14, 2026, Dec 12, 2024 (3 updates tracked since 2024).

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 Glens Falls, New York, licensed in New York (235438) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glens Falls, 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 Address14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITALGlens Falls, NY 12801-4448
Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-5924 · Fax (518) 926-6983
Fax(518) 926-5605
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2001
Enumeration DateAugust 8, 2006
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1568472355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 235438
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.
14 HUDSON AVE, Glens Falls, NY 12801

Secondary Practice Location 1

Location 1100 Park Street, Glens Falls HospitalGlens Falls, NY 12801-4413 · Phone (518) 926-5600 · Fax (518) 926-5605

Other Identifiers 1

Medicaid2675172OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Karen Barbosa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
821 N EUTAW ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 966 clinicians in this Medicare group
Internal Medicine
1515 SAVANNAH RD
Lewes, DE 19958
  • Reassigned Medicare billing, Delaware enrollment
  • 382 clinicians in this Medicare group
Family Medicine
801 MIDDLEFORD RD
Seaford, DE 19973
  • Reassigned Medicare billing, Delaware enrollment
  • 179 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 12801 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Urology
14 HUDSON AVE
GLENS FALLS, NY 12801
Physician Assistant (Surgical)
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Orthopaedic Surgery (Hand Surgery)
14 HUDSON AVE
GLENS FALLS, NY 12801
Physician Assistant (Surgical)
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Surgery
14 HUDSON AVE
GLENS FALLS, NY 12801
Family Medicine (Sports Medicine)
14 HUDSON AVE
GLENS FALLS, NY 12801
Surgery
14 HUDSON AVE, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL
GLENS FALLS, NY 12801
Surgery
14 HUDSON AVE
GLENS FALLS, NY 12801

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 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.

Where is Karen Barbosa located?

Karen Barbosa practices at 14 Hudson Ave Surgical Specialists Of Glens Falls Hospital, Glens Falls, NY 12801. The listed phone number is (518) 926-5600.

What is Karen Barbosa's specialty?

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

Is Karen Barbosa enrolled in Medicare?

Yes. Karen Barbosa 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.

Which organizations bill Medicare for Karen Barbosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Barbosa reassigns Medicare benefits to 3 organizations: University Of Maryland Community Medical Group, Inc. (Baltimore, MD), Beebe Physician Network, Inc. (Lewes, DE) and Tidalhealth Physician Network, Inc. (Seaford, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Barbosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Barbosa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Karen Barbosa 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.

When was this NPI record last updated?

The NPPES record for Karen Barbosa was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.