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MS. KAREN LESLEY BIRMINGHAM M.D.
NPI 1851483010
Plastic Surgery in Marmora, NJ

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
110 ROOSEVELT BLVD, SUITE 2B, MARMORA, NJ 08223(609) 390-2404(609) 390-2644 Get Directions Write a Review

NPPES record last updated: December 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Karen Lesley Birmingham M.d. NPPES

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

MS. KAREN LESLEY BIRMINGHAM M.D. (NPI 1851483010) is an individual plastic surgery provider in Marmora, New Jersey, licensed in New Jersey (25MA07419800) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and is a graduate of Hahnemann University College Of Medicine (1991).

NPPES Registry Identity

NPI1851483010
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameMS. KAREN LESLEY BIRMINGHAMCredential: M.D.
Location Address110 ROOSEVELT BLVD, SUITE 2BMarmora, NJ 08223-1403
Mailing Address110 Roosevelt Blvd, Suite 2bMarmora, NJ 08223-1403 · (609) 390-2404 · Fax (609) 390-2644
Phone(609) 390-2404
Fax(609) 390-2644
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 1991
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 3, 2010
✔ NPI 1851483010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NJ · 25MA07419800
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
110 ROOSEVELT BLVD, Marmora, NJ 08223
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Other Identifiers 4

Medicare UPINH05773NJ
Medicare PIN065219ZEMENJ
Medicare PIN065219V07NJ
Medicare PIN065219NJ

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

Ms. Karen Lesley Birmingham 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 ID5395760219
PECOS Enrollment IDI20051011000095
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 2

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.
22 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08223 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 3

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

LIVING FIT CENTER,LLC
Dietitian, Registered
110 ROOSEVELT BLVD
MARMORA, NJ 08223
Cape May County (609) 840-6287
DEBBE A BOURGOIN RD
Dietitian, Registered
110 ROOSEVELT BLVD, SUITE 110
MARMORA, NJ 08223
Cape May County (609) 335-6084
D&M HOMECARE, LLC
In Home Supportive Care
110 ROOSEVELT BLVD
MARMORA, NJ 08223
Cape May County (609) 545-8258

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 Birmingham's NPI number?

The NPI number for Karen Birmingham is 1851483010. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Karen Birmingham located?

Karen Birmingham practices at 110 Roosevelt Blvd Suite 2B, Marmora, NJ 08223. The listed phone number is (609) 390-2404.

What is Karen Birmingham's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Karen Birmingham enrolled in Medicare?

Yes. Karen Birmingham 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.

Is Karen Birmingham affiliated with any hospitals?

According to CMS data, Karen Birmingham is affiliated with Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Karen Birmingham was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.