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DR. KAREN ANNE GALVAN M.D.
NPI 1669635710
Surgery in Mountain Home, ID

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
895 N 6TH E, MOUNTAIN HOME, ID 83647(208) 587-1850(208) 587-1855 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karen Anne Galvan M.d. NPPES

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

DR. KAREN ANNE GALVAN M.D. (NPI 1669635710) is an individual surgery provider in Mountain Home, Idaho, licensed in Idaho (M-13384) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with St Luke's Elmore Medical Center, and is a graduate of State University Of Ny Upstate Medical University (2007).

NPPES Registry Identity

NPI1669635710
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. KAREN ANNE GALVANCredential: M.D.
Location Address895 N 6TH EMountain Home, ID 83647-2207
Mailing Address895 N 6th EMountain Home, ID 83647-2207 · (208) 587-1850 · Fax (208) 587-1855
Phone(208) 587-1850
Fax(208) 587-1855
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2007
Enumeration DateJuly 9, 2008
Last NPPES UpdateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1669635710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ID · M-13384
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.
895 N 6TH E, Mountain Home, ID 83647
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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 Anne Galvan 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 ID7214161736
PECOS Enrollment IDI20160915001469
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 7

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 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.
36 services25 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
25 services25 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services24 patients
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.
16 services16 patients
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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83647 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

ELMORE MEDICAL CENTER
General Acute Care Hospital (Critical Access)
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-8401
SHELBY RAE LUNDAY OTR
Occupational Therapist (Physical Rehabilitation)
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (972) 762-9964
ELMORE MEDICAL CENTER HOSPITAL DISTRICT
Skilled Nursing Facility
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-8401
LENDER ALGER
Pharmacist
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-0568
ST LUKES REGIONAL MEDICAL CENTER
Pharmacy (Long Term Care Pharmacy)
895 N 6TH E
MTN HOME, ID 83647
Elmore County (208) 587-8401
ELMORE MEDICAL CENTER LTC
Nursing Facility/Intermediate Care Facility
895 N 6TH E
MTN HOME, ID 83647
Elmore County (208) 580-2661
ST LUKES REGIONAL MEDICAL CENTER
Emergency Medicine
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-8401
REGINA UGRINSKY PT, DPT
Specialist
895 N 6TH E
MOUNTAIN HOME, ID 83647
Elmore County (919) 757-3759

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 Galvan's NPI number?

The NPI number for Karen Galvan is 1669635710. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Karen Galvan located?

Karen Galvan practices at 895 N 6th E, Mountain Home, ID 83647. The listed phone number is (208) 587-1850.

What is Karen Galvan's specialty?

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

Is Karen Galvan enrolled in Medicare?

Yes. Karen Galvan 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 Galvan accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Karen Galvan 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 Galvan affiliated with any hospitals?

According to CMS data, Karen Galvan is affiliated with St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Galvan was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.