2026 NPPES data Pediatric Emergency Medicine (Pediatrics) Physician NPI 1508815424 MD
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KAREN DELLA-GIUSTINA, MD

Pediatric Emergency Medicine (Pediatrics) Physician in TACOMA, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
81.5328/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: KAREN DELLA-GIUSTINA, MD is a Pediatric Emergency Medicine (Pediatrics) Physician ([object Object]) practicing in TACOMA, Washington . Their CMS MIPS Final Score of 81.5328/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KAREN DELLA-GIUSTINA, MD reported a CMS MIPS final score of 81.5328 out of 100, below the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KAREN DELLA-GIUSTINA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KAREN DELLA-GIUSTINA, MD at a glance

Near national average

NPI registry status

Active

Issued 05/08/2006

NPI 1508815424

Primary specialty

Pediatric Emergency Medicine (Pediatrics) Physician

Niche

1,803 US NPIs in this specialty

MIPS final score

81.5328/100 1.5671999999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Pediatric Emergency Medicine (Pediatrics) Physician compares to other specialties among Washington providers

Washington providers

Pediatric Emergency Medicine (Pediatrics) Physician share within Washington

1. Pediatric Emergency Medicine (Pediatrics) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Emergency Medicine (Pediatrics) Physician share within Washington

Medicare quality performance — MIPS

KAREN DELLA-GIUSTINA, MD's 2023 MIPS final score plotted against the Pediatric Emergency Medicine (Pediatrics) Physician national average

Near national average
MIPS Final Score
81.5328/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Emergency Medicine (Pediatrics) Physician) — 81.5328/100 vs national avg 83.1

0%100%National avg83%81.5%
MIPS final score (Pediatric Emergency Medicine (Pediatrics) Physician) — 81.5328/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KAREN DELLA-GIUSTINA, MD is a Pediatric Emergency Medicine (Pediatrics) Physician provider practicing in TACOMA, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1508815424. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KAREN DELLA-GIUSTINA, MD appears in the CMS NPPES registry as a Pediatric Emergency Medicine (Pediatrics) Physician provider holding MD credentials at MADIGAN ARMY MEDICAL CENTER- DEPT OF PEDIATRICS, TACOMA, WA, 98431, with a listed phone of (253) 968-3066. NPI 1508815424 was issued on 05/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DELLA-GIUSTINA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Emergency Medicine (Pediatrics) Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.5328/100 for the 2023 performance year (Quality 71.9687, Cost 54.3854), compared with the national average of 83.1.

Pediatric Emergency Medicine (Pediatrics) Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 47 states and an average of 162 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

MADIGAN ARMY MEDICAL CENTER- DEPT OF PEDIATRICS
TACOMA, WA 98431

Provider Details

NPI 1508815424
Specialty Pediatric Emergency Medicine (Pediatrics) Physician
Credentials MD
Gender Female
NPI Issued 05/08/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.5328
Final Score
Avg: 83.1
71.9687
Quality
54.3854
Cost
88
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to KAREN DELLA-GIUSTINA, MD. To verify KAREN DELLA-GIUSTINA, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Pediatric Emergency Medicine (Pediatrics) Physician Overview

How KAREN DELLA-GIUSTINA, MD fits within the Pediatric Emergency Medicine (Pediatrics) Physician landscape nationally.

1,803
Pediatric Emergency Medicine (Pediatrics) Physician Providers in US
47
States with Pediatric Emergency Medicine (Pediatrics) Physician
162
Avg Claims per Provider

Nearby Pediatric Emergency Medicine (Pediatrics) Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as DELLA-GIUSTINA.

Compare Pediatric Emergency Medicine (Pediatrics) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN DELLA-GIUSTINA, MD's specialty?
KAREN DELLA-GIUSTINA, MD specializes in Pediatric Emergency Medicine (Pediatrics) Physician and practices in TACOMA, Washington. Credentials: MD.
What is KAREN DELLA-GIUSTINA, MD's Medicare quality score?
KAREN DELLA-GIUSTINA, MD has a CMS MIPS Final Score of 81.5328/100 (Quality: 71.9687, Cost: 54.3854). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN DELLA-GIUSTINA, MD located?
KAREN DELLA-GIUSTINA, MD is located at MADIGAN ARMY MEDICAL CENTER- DEPT OF PEDIATRICS, TACOMA, WA, 98431. Phone: (253) 968-3066.
What is KAREN DELLA-GIUSTINA, MD's NPI number?
KAREN DELLA-GIUSTINA, MD's National Provider Identifier (NPI) is 1508815424, issued on 05/08/2006.
How many Pediatric Emergency Medicine (Pediatrics) Physician providers are there in the US?
There are 1,803 Pediatric Emergency Medicine (Pediatrics) Physician providers across 47 states in the US. The average Pediatric Emergency Medicine (Pediatrics) Physician provider writes 162 Medicare Part D claims per year.
Does KAREN DELLA-GIUSTINA, MD accept Medicare?
KAREN DELLA-GIUSTINA, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN DELLA-GIUSTINA, MD's credentials?
KAREN DELLA-GIUSTINA, MD's NPI is 1508815424 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology