KAREN ELAINE SEGERSON M.D.
NPI 1003995572
Internal Medicine in Seattle, WA

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 598-4333 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen Elaine Segerson M.d. NPPES

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

KAREN ELAINE SEGERSON M.D. (NPI 1003995572) is an individual internal medicine provider in Seattle, Washington, licensed in Washington (MD60071478) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of University Of Washington School Of Medicine (2001).

NPPES Registry Identity

NPI1003995572
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN ELAINE SEGERSONCredential: M.D.
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2001
Enumeration DateNovember 3, 2006
Last NPPES UpdateNovember 30, 2015
NPI 1003995572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in WA · MD60071478 Licensed in UT · 5198147-1205
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1959 NE PACIFIC ST, Seattle, WA 98195

Other Identifiers 2

Medicaid1003995572WA
Medicare PIN8944415

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

Karen Elaine Segerson M.d. 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 ID3476591124
PECOS Enrollment IDI20150922002310
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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Segerson's NPI number?

The NPI number for Karen Segerson is 1003995572. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Karen Segerson located?

Karen Segerson practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 598-4333.

What is Karen Segerson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Segerson enrolled in Medicare?

Yes. Karen Segerson 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 Segerson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Karen Segerson 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 Segerson affiliated with any hospitals?

According to CMS data, Karen Segerson is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for Karen Segerson was last updated on November 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.