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MAGDALENE KARON MD
NPI 1730194978
Obstetrics & Gynecology in Lexington, KY

Active since July 29, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0323016 · Microscopy
160 N EAGLE CREEK DR STE 205, LEXINGTON, KY 40509(859) 277-3135(859) 276-4690 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 1, 2024, Mar 3, 2020 (2 updates tracked since 2020).

About Magdalene Karon Md NPPES

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

MAGDALENE KARON MD (NPI 1730194978) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (23269) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2028, and is affiliated with Baptist Health Lexington.

NPPES Registry Identity

NPI1730194978
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMAGDALENE KARONCredential: MD
Location Address160 N EAGLE CREEK DR STE 205Lexington, KY 40509-2125
Mailing Address160 N Eagle Creek Dr Ste 205Lexington, KY 40509-2125 · (859) 277-3135 · Fax (859) 276-4690
Phone(859) 277-3135
Fax(859) 276-4690
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1982
Enumeration DateJuly 29, 2006
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1730194978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 23269
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License 23269 (KY)
160 N EAGLE CREEK DR STE 205, Lexington, KY 40509
Open in Google Maps ↗

Other Identifiers 2

Other6673KY · Medicare Group #
Medicaid64232697KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Magdalene Karon 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 ID547205759
PECOS Enrollment IDI20100525000184
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0323016

Magdalene Karon MD · Lexington, KY
Active · expires Aug 31, 2028
CLIA Number18D0323016
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMagdalene Karon
Laboratory Phone(859) 277-3135
Laboratory LocationMagdalene Karon MD160 North Eagle Creek Drive, Suite 205, Lexington, KY 40509
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 8

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.
174 services69 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.
66 services49 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
54 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services18 patients
Fitting and insertion of vaginal support device 57160
A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.
17 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 2

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

MAGDALENE KARON, M.D., P.S.C.
Obstetrics & Gynecology
160 N EAGLE CREEK DR STE 205
LEXINGTON, KY 40509
Fayette County (859) 277-3135
KAYLA KARAM P.A.-C
Physician Assistant
160 N EAGLE CREEK DR STE 205
LEXINGTON, KY 40509
Fayette County (859) 277-3135

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 Magdalene Karon's NPI number?

The NPI number for Magdalene Karon is 1730194978. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Magdalene Karon located?

Magdalene Karon practices at 160 N Eagle Creek Dr Ste 205, Lexington, KY 40509. The listed phone number is (859) 277-3135.

What is Magdalene Karon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Magdalene Karon enrolled in Medicare?

Yes. Magdalene Karon 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.

Does Magdalene Karon hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D0323016) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magdalene Karon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Magdalene Karon 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 Magdalene Karon affiliated with any hospitals?

According to CMS data, Magdalene Karon is affiliated with Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Magdalene Karon was last updated on October 1, 2024. 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.