DR. KAREN LYNN BUGAJ DNP, CRNP
NPI 1871894733
Nurse Practitioner - Family in Brockton, MA

Active since November 09, 2010PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400(508) 894-0412 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Karen Lynn Bugaj Dnp, Crnp NPPES

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

DR. KAREN LYNN BUGAJ DNP, CRNP (NPI 1871894733) is an individual family provider in Brockton, Massachusetts, licensed in Massachusetts (RN2334539) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1871894733
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KAREN LYNN BUGAJCredential: DNP, CRNP
Location Address110 LIBERTY STBrockton, MA 02301-5674
Mailing Address110 Liberty StBrockton, MA 02301-5674 · (508) 894-0400 · Fax (508) 894-0412
Fax(508) 894-0412
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 9, 2010
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
NPI 1871894733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MA · RN2334539 Licensed in PA · SP005250B Licensed in NY · 332390-1
110 LIBERTY ST, Brockton, MA 02301

Secondary Practice Location 1

Location 1606 W 2nd StErie, PA 16507-1111 · Phone (814) 451-6700 ext. 7854 · Fax (814) 451-6767

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

Dr. Karen Lynn Bugaj Dnp, Crnp 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 ID8729060538
PECOS Enrollment IDI20211029001024
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 5

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.
287 services154 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.
123 services99 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.
78 services63 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.
69 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.41
Promoting Interoperability100
Improvement Activities40
Cost72.68

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$62.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
110 LIBERTY ST
BROCKTON, MA 02301
Nurse Practitioner (Family)
110 LIBERTY ST
BROCKTON, MA 02301
Family Medicine (Obesity Medicine)
110 LIBERTY ST
BROCKTON, MA 02301
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Dermatology
110 LIBERTY ST
BROCKTON, MA 02301
Ophthalmology
110 LIBERTY ST
BROCKTON, MA 02301
Physical Medicine & Rehabilitation
110 LIBERTY ST
BROCKTON, MA 02301
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301

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 Bugaj's NPI number?

The NPI number for Karen Bugaj is 1871894733. It was assigned to this individual provider in the NPPES registry on November 9, 2010.

Where is Karen Bugaj located?

Karen Bugaj practices at 110 Liberty St, Brockton, MA 02301. The listed phone number is (508) 894-0400.

What is Karen Bugaj's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Bugaj enrolled in Medicare?

Yes. Karen Bugaj 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 Bugaj accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Bugaj 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 Bugaj affiliated with any hospitals?

According to CMS data, Karen Bugaj is affiliated with Signature Healthcare Brockton Hospital.

When was this NPI record last updated?

The NPPES record for Karen Bugaj was last updated on January 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.