KAREN LEVETTE GILES MD
NPI 1720007974
Radiology - Diagnostic Radiology in Brockton, MA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
78.87/100
CMS Quality Rating
110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Levette Giles Md NPPES

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

KAREN LEVETTE GILES MD (NPI 1720007974) is an individual diagnostic radiology provider in Brockton, Massachusetts, licensed in Massachusetts (223106) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and maintains a secondary practice location in Martinsville.

NPPES Registry Identity

NPI1720007974
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKAREN LEVETTE GILESCredential: MD
Location Address110 LIBERTY STBrockton, MA 02301-5674
Mailing Address1595 Stoney Mountain RdMartinsville, VA 24112-1179 · (276) 734-5497
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1996
Enumeration DateJuly 19, 2006
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1720007974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MA · 223106✔ Licensed in PA · MD-071394-L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
110 LIBERTY ST, Brockton, MA 02301

Secondary Practice Location 1

Location 11595 Stoney Mountain RdMartinsville, VA 24112-1179 · Phone (276) 734-5497

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 Levette Giles Md 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 ID5991691206
PECOS Enrollment IDI20041229000613, I20050705000057, I20090923000514, I20141120001476
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

5

Medicare enrollment records show Karen Giles reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
110 LIBERTY ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 409 clinicians in this Medicare group
Surgery
9880 BUSTLETON AVE, SUITE 205
Philadelphia, PA 19115
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
Diagnostic Radiology
5800 RIDGE AVE
Philadelphia, PA 19128
  • Reassigned Medicare billing, Delaware and Maryland enrollments
Urology
137 W HIGH ST STE 2B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland and Delaware enrollments
  • Also billed through NPI 1124067848 (Delaware)
  • 512 clinicians in this Medicare group
Critical Access
106 PARK DRIVE
Hot Springs, VA 24445
  • Reassigned Medicare billing, Virginia enrollment
  • 129 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 24

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
220 services220 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
217 services217 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
133 services129 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
109 services108 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
109 services92 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
67 services65 patients

Hospital Affiliations CMS Care Compare 5

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Roxborough Memorial Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number390304
Location5800 Ridge AvePhiladelphia, PA 19128 · Philadelphia County
Emergency services

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

78.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.2
Promoting Interoperability88
Improvement Activities40
Cost57.04

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.

Physician Assistant
110 LIBERTY ST
BROCKTON, MA 02301
Nurse Practitioner (Family)
110 LIBERTY ST
BROCKTON, MA 02301
Family Medicine (Obesity Medicine)
110 LIBERTY ST
BROCKTON, MA 02301
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Dermatology
110 LIBERTY ST
BROCKTON, MA 02301
Ophthalmology
110 LIBERTY ST
BROCKTON, MA 02301
Physical Medicine & Rehabilitation
110 LIBERTY ST
BROCKTON, MA 02301
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301

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 Giles's NPI number?

The NPI number for Karen Giles is 1720007974. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Karen Giles located?

Karen Giles practices at 110 Liberty St, Brockton, MA 02301. The listed phone number is (508) 894-0400.

What is Karen Giles's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Karen Giles enrolled in Medicare?

Yes. Karen Giles 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 Giles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Giles reassigns Medicare benefits to 5 organizations: Signature Healthcare Medical Group Inc (Brockton, MA), Einstein Practice Plan Inc (Philadelphia, PA), Precision Diagnostic Radiology LLC (Philadelphia, PA), Union Hospital Of Cecil County, Inc. (Elkton, MD) and Bath County Community Hospital (Hot Springs, VA). 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 Giles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Giles accept?

Health plans from Cigna Healthcare and Taro Health list Karen Giles 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 Giles affiliated with any hospitals?

According to CMS data, Karen Giles is affiliated with Union Hospital Of Cecil County, Signature Healthcare Brockton Hospital, Albert Einstein Medical Center, Roxborough Memorial Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Karen Giles was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.