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DR. KAREN K. MICHELENA M.D.
NPI 1962582262
Family Medicine in Galway, NY

Active since October 17, 2006PECOS Enrolled
5344 SACANDAGA RD, GALWAY, NY 12074(518) 882-6955(518) 886-5880 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Karen K. Michelena M.d. NPPES

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

DR. KAREN K. MICHELENA M.D. (NPI 1962582262) is an individual family medicine provider in Galway, New York, licensed in New York (233388) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962582262
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAREN K. MICHELENACredential: M.D.
Location Address5344 SACANDAGA RDGalway, NY 12074-2422
Mailing Address5344 Sacandaga RdGalway, NY 12074-2422 · (518) 882-6955 · Fax (518) 886-5880
Phone(518) 882-6955
Fax(518) 886-5880
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 10, 2019
✔ NPI 1962582262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 233388
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.
5344 SACANDAGA RD, Galway, NY 12074
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen K. Michelena M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Michelena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saratoga Hospital
Same address
Primary Care
5344 SACANDAGA RD
Galway, NY 12074
  • Reassigned Medicare billing, New York enrollment
  • 456 clinicians in this Medicare group
NPI 1437491958 (518) 882-6955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12074 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 5

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

MRS. DONNA E HOLT NP
Nurse Practitioner (Family)
5344 SACANDAGA RD
GALWAY, NY 12074
Saratoga County (518) 882-6955
SARATOGA HOSPITAL
Clinic/Center (Primary Care)
5344 SACANDAGA RD
GALWAY, NY 12074
Saratoga County (518) 882-6955
MRS. SAMANTHA NICOLE BLANC FNP
Nurse Practitioner (Family)
5344 SACANDAGA RD
GALWAY, NY 12074
Saratoga County (518) 882-6955
SARATOGA HOSPITAL
Clinic/Center (Primary Care)
5344 SACANDAGA RD
GALWAY, NY 12074
Saratoga County (518) 882-6955
ANNEKE PRIBIS M.D.
Family Medicine
5344 SACANDAGA RD
GALWAY, NY 12074
Saratoga County (518) 882-6955

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 Michelena's NPI number?

The NPI number for Karen Michelena is 1962582262. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Karen Michelena located?

Karen Michelena practices at 5344 Sacandaga Rd, Galway, NY 12074. The listed phone number is (518) 882-6955.

What is Karen Michelena's specialty?

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

Is Karen Michelena enrolled in Medicare?

Yes. Karen Michelena is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Michelena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Michelena reassigns Medicare benefits to Saratoga Hospital (Galway, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Michelena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Michelena was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.