1. Home
  2. Directory
  3. Texas
  4. Kyle
  5. Family Medicine
  6. NPI Profile

DR. KAREN JUSTINIANO D.O.
NPI 1780124040
Family Medicine in Kyle, TX

Active since March 06, 2017PECOS EnrolledAccepts Medicare Assignment
4036 CROMWELL DR, KYLE, TX 78640(512) 654-4600(512) 654-4601 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Oct 7, 2020 (2 updates tracked since 2020).

About Dr. Karen Justiniano D.o. NPPES

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

DR. KAREN JUSTINIANO D.O. (NPI 1780124040) is an individual family medicine provider in Kyle, Texas, licensed in Texas (U4538) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780124040
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAREN JUSTINIANOCredential: D.O.
Location Address4036 CROMWELL DRKyle, TX 78640-6645
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Phone(512) 654-4600
Fax(512) 654-4601
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2017
Enumeration DateMarch 6, 2017
Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1780124040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · U4538✔ Licensed in CT · 64876
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4036 CROMWELL DR, Kyle, TX 78640
Open in Google Maps ↗

Secondary Practice Locations 2

Location 169 East AveNorwalk, CT 06851-4904 · Phone (203) 276-7870
Location 2169 Riverside Dr, Our Lady of Lourdes Memorial Hospital, Inc.Binghamton, NY 13905-4246 · Phone (607) 798-5897

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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 Justiniano D.o. 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 ID7214347889
PECOS Enrollment IDI20230719004255
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 10

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 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.
146 services86 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
71 services56 patients
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.
43 services41 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Buda

Acute Care Hospitals · Buda, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670131
Location5330 Overpass Road Suite 110Buda, TX 78610 · Hays County
Emergency services

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670136
Location5245 W Us 290Austin, TX 78735 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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 4

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

MARCI ANN ROY M.D.
Psychiatry & Neurology (Neurology)
4036 CROMWELL DR
KYLE, TX 78640
Hays County (512) 654-4600
DR. MICAH D TOMLINSON M.D.
Family Medicine
4036 CROMWELL DR
KYLE, TX 78640
Hays County (512) 654-4600
IRENE HALMARI PA-C
Physician Assistant
4036 CROMWELL DR
KYLE, TX 78640
Hays County (512) 654-4600
ROBIN MORGAN NP
Nurse Practitioner (Family)
4036 CROMWELL DR
KYLE, TX 78640
Hays County (512) 654-4600

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 Justiniano's NPI number?

The NPI number for Karen Justiniano is 1780124040. It was assigned to this individual provider in the NPPES registry on March 6, 2017.

Where is Karen Justiniano located?

Karen Justiniano practices at 4036 Cromwell Dr, Kyle, TX 78640. The listed phone number is (512) 654-4600.

What is Karen Justiniano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Justiniano enrolled in Medicare?

Yes. Karen Justiniano 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 Justiniano accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Karen Justiniano 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 Justiniano affiliated with any hospitals?

According to CMS data, Karen Justiniano is affiliated with Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center - Buda and Baylor Scott & White Medical Center- Austin.

When was this NPI record last updated?

The NPPES record for Karen Justiniano was last updated on October 10, 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.