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KRISTEN ELAINE BABIAK D.O.
NPI 1649659517
Emergency Medicine in Charleston, WV

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3110 MACCORKLE AVE SE, ROOM 58, CHARLESTON, WV 25304(304) 388-7170 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristen Elaine Babiak D.o. NPPES

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

KRISTEN ELAINE BABIAK D.O. (NPI 1649659517) is an individual emergency medicine provider in Charleston, West Virginia, licensed in West Virginia (3431) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1649659517
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKRISTEN ELAINE BABIAKCredential: D.O.
Location Address3110 MACCORKLE AVE SE, ROOM 58Charleston, WV 25304-1210
Mailing Address28 Bridlewood RdCharleston, WV 25314-2101 · (304) 395-4148
Phone(304) 388-7170
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2015
Enumeration DateMay 26, 2015
Last NPPES UpdateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1649659517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WV · 3431
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3110 MACCORKLE AVE SE, Charleston, WV 25304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kristen Elaine Babiak 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 ID5991057051
PECOS Enrollment IDI20190819000175
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
117 services117 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
54 services53 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services31 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. KARINNA HOPE ANDREWS D.O.
Obstetrics & Gynecology
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-2068
TERESA GAYLE WAUGH RN, CDE
Registered Nurse (Diabetes Educator)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5555
ADAM THOMAS CRAWFORD D.O.
Emergency Medicine
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-7170
BRITTAIN MCJUNKIN MD
Internal Medicine (Gastroenterology)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 347-1300
DR. EMILY A.P. MONTGOMERY M.D.
Obstetrics & Gynecology
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 347-1300
DR. CHRISTIAN CONSTANTINE DIAS DO
Student in an Organized Health Care Education/Training Program
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-9948
DR. ROBERT MYLES AUSTIN D.O.
Emergency Medicine
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-7170
MOHAMED ABDELFATTAH AHMED ARAFA M.D
Student in an Organized Health Care Education/Training Program
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-1000

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 Kristen Babiak's NPI number?

The NPI number for Kristen Babiak is 1649659517. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Kristen Babiak located?

Kristen Babiak practices at 3110 Maccorkle Ave SE Room 58, Charleston, WV 25304. The listed phone number is (304) 388-7170.

What is Kristen Babiak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kristen Babiak enrolled in Medicare?

Yes. Kristen Babiak 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 Kristen Babiak accept?

Health plans from CareSource list Kristen Babiak 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 Kristen Babiak affiliated with any hospitals?

According to CMS data, Kristen Babiak is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Babiak was last updated on August 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.