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KARNESHA GOINS
NPI 1760845945
Orthopaedic Surgery in New York, NY

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
506 MALCOLM X BLVD RM 663, NEW YORK, NY 10037(212) 939-1000 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Oct 11, 2023 (2 updates tracked since 2023).

About Karnesha Goins NPPES

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

KARNESHA GOINS (NPI 1760845945) is an individual orthopaedic surgery provider in New York, New York, licensed in Georgia (110122) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760845945
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameKARNESHA GOINS
Location Address506 MALCOLM X BLVD RM 663New York, NY 10037-1802
Mailing Address506 Malcolm X Blvd Rm 663New York, NY 10037-1802
Phone(212) 939-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1760845945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in GA · 110122✔ Licensed in NJ · 25MA11462600✔ Licensed in NY · 325295
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
506 MALCOLM X BLVD RM 663, New York, NY 10037
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Karnesha Goins 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 ID7911205828
PECOS Enrollment IDI20250730001054, I20251110003395
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 Karnesha Goins reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harlem Medical Associates PC
Same address
General Practice
506 MALCOLM X BLVD (LENOX AVE)
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1487957692 (631) 675-9300
United Health Services Hospitals, Inc.
138 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027
United Medical Associates PC
138 mi
Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 clinicians in this Medicare group
NPI 1013972801 (607) 770-0025
Wellstar Medical Group, LLC
736 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611
Memorial Hospital Of Sweetwater County
1,827 mi
Internal Medicine
1180 COLLEGE DRIVE
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1558361949 (Wyoming)
  • 176 clinicians in this Medicare group
NPI 1437312436 (307) 352-8125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10037 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.92
Promoting Interoperability100
Improvement Activities40

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 Karnesha Goins's NPI number?

The NPI number for Karnesha Goins is 1760845945. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Karnesha Goins located?

Karnesha Goins practices at 506 Malcolm X Blvd Rm 663, New York, NY 10037. The listed phone number is (212) 939-1000.

What is Karnesha Goins's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Karnesha Goins enrolled in Medicare?

Yes. Karnesha Goins 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 Karnesha Goins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karnesha Goins reassigns Medicare benefits to 5 organizations: Harlem Medical Associates PC (New York, NY), United Health Services Hospitals, Inc. (Johnson City, NY), United Medical Associates PC (Binghamton, NY), Wellstar Medical Group, LLC (Roswell, GA) and Memorial Hospital Of Sweetwater County (Rock Springs, WY). 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 Karnesha Goins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karnesha Goins accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Karnesha Goins 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 Karnesha Goins affiliated with any hospitals?

According to CMS data, Karnesha Goins is affiliated with Wellstar Spalding Medical Center.

When was this NPI record last updated?

The NPPES record for Karnesha Goins was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.