DR. CAROL A. KARAMITSOS M.D.
NPI 1760475453
Obstetrics & Gynecology - Gynecology in Santa Maria, CA

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
300 S STRATFORD AVE, SANTA MARIA, CA 93454(805) 347-2100(805) 347-2114 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2023, Dec 27, 2022 (2 updates tracked since 2022).

About Dr. Carol A. Karamitsos M.d. NPPES

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

DR. CAROL A. KARAMITSOS M.D. (NPI 1760475453) is an individual gynecology provider in Santa Maria, California, licensed in California (G69866) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Maria, and is a graduate of George Washington University School Of Medicine (1989).

NPPES Registry Identity

NPI1760475453
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. CAROL A. KARAMITSOSCredential: M.D.
Location Address300 S STRATFORD AVESanta Maria, CA 93454-5907
Mailing Address220 S Palisade Dr Ste 203Santa Maria, CA 93454-8903 · (805) 354-7101 · Fax (805) 354-7102
Fax(805) 347-2114
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1989
Enumeration DateAugust 26, 2005
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1760475453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · G69866
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
300 S STRATFORD AVE, Santa Maria, CA 93454

Secondary Practice Location 1

Location 1220 S Palisade Dr Ste 203Santa Maria, CA 93454-8903 · Phone (805) 354-7101 · Fax (805) 354-7102

Other Identifiers 1

Medicaid00G698660CA

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

Dr. Carol A. Karamitsos 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 ID2668422205
PECOS Enrollment IDI20050201000652
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 Carol Karamitsos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health
300 S STRATFORD AVE
Santa Maria, CA 93454
  • Reassigned Medicare billing, California enrollment
  • 263 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2115 CENTERPOINTE PKWY
Santa Maria, CA 93455
  • Reassigned Medicare billing, California enrollment
  • 116 clinicians in this Medicare group
Urology
225 PRADO RD, SUITE D
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
  • 15 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

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.
25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Obstetrics & Gynecology (Gynecology)
300 S STRATFORD AVE
SANTA MARIA, CA 93454
Neurological Surgery
300 S STRATFORD AVE
SANTA MARIA, CA 93454
Psychiatry & Neurology (Neurology)
300 S STRATFORD AVE
SANTA MARIA, CA 93454
Physician Assistant
300 S STRATFORD AVE
SANTA MARIA, CA 93454
Neurological Surgery
300 S STRATFORD AVE
SANTA MARIA, CA 93454
Registered Nurse (General Practice)
300 S STRATFORD AVE
SANTA MARIA, CA 93454
Clinic/Center (Community Health)
300 S STRATFORD AVE
SANTA MARIA, CA 93454
Physician Assistant
300 S STRATFORD AVE
SANTA MARIA, CA 93454

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 Carol Karamitsos's NPI number?

The NPI number for Carol Karamitsos is 1760475453. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Carol Karamitsos located?

Carol Karamitsos practices at 300 S Stratford Ave, Santa Maria, CA 93454. The listed phone number is (805) 347-2100.

What is Carol Karamitsos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Carol Karamitsos enrolled in Medicare?

Yes. Carol Karamitsos 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 Carol Karamitsos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Karamitsos reassigns Medicare benefits to 3 organizations: Pacific Central Coast Health Centers (Santa Maria, CA), Santa Barbara County Auditor (Santa Maria, CA) and Urology Associates Of The Central Coast (San Luis Obispo, CA). 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 Carol Karamitsos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carol Karamitsos was last updated on November 2, 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.