Karly Sgaglione, PA-C
NPI 1194242065 · Physician Assistant · Baltimore, MD
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karly Sgaglione, PA-C is a Physician Assistant provider in Baltimore, MD (NPI 1194242065).
Provider details
- NPI number
- 1194242065
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C0006511 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
45 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $82 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 13 | $126 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 12 | $68 |
Typical Medicare-allowed amounts for these services range $68–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 85 | 34 |
| Metoprolol Succinate | 68 | 33 |
| Dofetilide | 48 | 15 |
| Flecainide Acetate | 41 | 16 |
| Rivaroxabanbrand: Xarelto | 32 | — |
| Amiodarone Hcl | 28 | 14 |
| Metoprolol Tartrate | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,025 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-23
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Frequently asked questions
- What is Karly Sgaglione's NPI number?
- Karly Sgaglione's National Provider Identifier (NPI) is 1194242065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karly Sgaglione's specialty?
- Karly Sgaglione is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Karly Sgaglione located?
- Karly Sgaglione's practice location on file with NPPES is 1800 Orleans St Rm 5314, Baltimore, MD 21287-0010.
- What is Karly Sgaglione's phone number?
- The practice phone number listed in the NPPES registry for Karly Sgaglione is (410) 955-5000.
- Does Karly Sgaglione accept Medicare?
- Karly Sgaglione is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karly Sgaglione's NPI active?
- Yes — Karly Sgaglione's NPI (1194242065) is active in the NPPES registry as of the last update on 2023-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.