PAUL KARAM MD
NPI 1861983892
Surgery in Methuen, MA

Active since May 25, 2018PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, May 25, 2018 (2 updates tracked since 2018).

About Paul Karam Md NPPES

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

PAUL KARAM MD (NPI 1861983892) is an individual surgery provider in Methuen, Massachusetts, licensed in Massachusetts (1022039) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Holy Family Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861983892
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL KARAMCredential: MD
Location Address70 EAST STMethuen, MA 01844-4597
Mailing Address70 East StMethuen, MA 01844-4597 · (978) 687-0151
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 25, 2018
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1861983892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MA · 1022039
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
70 EAST ST, Methuen, MA 01844

Accepted 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

Paul Karam Md 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 ID3779822374
PECOS Enrollment IDI20250212003376
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.

Hospital Affiliations CMS Care Compare

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

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01844 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Psychiatric/Mental Health)
70 EAST ST
METHUEN, MA 01844
Anesthesiology (Pain Medicine)
70 EAST ST
METHUEN, MA 01844
Internal Medicine
70 EAST ST
METHUEN, MA 01844
General Acute Care Hospital
70 EAST ST
METHUEN, MA 01844
Social Worker (Clinical)
70 EAST ST
METHUEN, MA 01844
Psychiatric Unit
70 EAST ST
METHUEN, MA 01844
Social Worker (Clinical)
70 EAST ST
METHUEN, MA 01844
Nurse Practitioner
70 EAST ST
METHUEN, MA 01844

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 Paul Karam's NPI number?

The NPI number for Paul Karam is 1861983892. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Paul Karam located?

Paul Karam practices at 70 East St, Methuen, MA 01844. The listed phone number is (978) 687-0151.

What is Paul Karam's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Karam enrolled in Medicare?

Yes. Paul Karam 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 Paul Karam accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Karam 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 Paul Karam affiliated with any hospitals?

According to CMS data, Paul Karam is affiliated with Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Paul Karam was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.