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DR. KAREN ANN RAGAINI M.D.
NPI 1831176270
Obstetrics & Gynecology in Phoenix, AZ

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
4545 E CHANDLER BLVD STE 208, PHOENIX, AZ 85048(480) 961-2330(480) 961-2332 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Karen Ann Ragaini M.d. NPPES

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

DR. KAREN ANN RAGAINI M.D. (NPI 1831176270) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Arizona (27459) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of California, Geffen School Of Medicine (1995).

NPPES Registry Identity

NPI1831176270
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KAREN ANN RAGAINICredential: M.D.
Location Address4545 E CHANDLER BLVD STE 208Phoenix, AZ 85048-7645
Mailing Address1950 W Frye RdChandler, AZ 85224-6255 · (480) 895-9555 · Fax (480) 802-7845
Phone(480) 961-2330
Fax(480) 961-2332
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1995
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1831176270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 27459
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.
4545 E CHANDLER BLVD STE 208, Phoenix, AZ 85048
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11950 W Frye RdChandler, AZ 85224-6255 · Phone (480) 895-9555 · Fax (480) 895-9494
Location 21900 W Frye RdChandler, AZ 85224-6235 · Phone (480) 895-9555 · Fax (480) 895-9494
Location 33420 S Mercy Rd Ste 221Gilbert, AZ 85297-0424 · Phone (480) 895-9555 · Fax (480) 895-9494
Location 41187 E Cottonwood Ln Ste BCasa Grande, AZ 85122-2957 · Phone (520) 836-1000 · Fax (520) 836-6515
Location 51187 E Cottonwood Ln Ste 1Casa Grande, AZ 85122-2957 · Phone (520) 836-1000 · Fax (520) 836-6515

Other Identifiers 1

Medicaid0047453601AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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 Ann Ragaini 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 ID2264422252
PECOS Enrollment IDI20071217000231
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 9

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.
106 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
36 services19 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.
21 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 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.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85048 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
63%498 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
94%1,526 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,270 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%538 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%2,304 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%1,699 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,396 patients
Patients tobacco: 3% · 87 patients
92%1,396 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%2,304 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
81%2,304 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
80%2,304 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MS. VICTORIA ANN CAHILL N.P.
Nurse Practitioner (Women's Health)
4545 E CHANDLER BLVD STE 208
PHOENIX, AZ 85048
Maricopa County (480) 961-2330
DR. CHARLES BRIXNER BOAG III D.O.
Obstetrics & Gynecology
4545 E CHANDLER BLVD STE 208
PHOENIX, AZ 85048
Maricopa County (480) 961-2330
ASPEN LEIGH BRADLEY-WOLFE M.D.
Obstetrics & Gynecology
4545 E CHANDLER BLVD STE 208
PHOENIX, AZ 85048
Maricopa County (480) 961-2330

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 Ragaini's NPI number?

The NPI number for Karen Ragaini is 1831176270. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Karen Ragaini located?

Karen Ragaini practices at 4545 E Chandler Blvd Ste 208, Phoenix, AZ 85048. The listed phone number is (480) 961-2330.

What is Karen Ragaini's specialty?

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

Is Karen Ragaini enrolled in Medicare?

Yes. Karen Ragaini 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 Ragaini accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Karen Ragaini 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.

When was this NPI record last updated?

The NPPES record for Karen Ragaini was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.