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KAREN LEA SEMONES M.D.
NPI 1013018019
Family Medicine in University Place, WA

Active since September 25, 2006PECOS Enrolled
3556 MARKET PL W STE 109, UNIVERSITY PLACE, WA 98466(253) 215-1122 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2020, Sep 3, 2020, Oct 29, 2018 (3 updates tracked since 2018).

About Karen Lea Semones M.d. NPPES

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

KAREN LEA SEMONES M.D. (NPI 1013018019) is an individual family medicine provider in University Place, Washington, licensed in Washington (MD00047375) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013018019
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN LEA SEMONESCredential: M.D.
Location Address3556 MARKET PL W STE 109University Place, WA 98466-4339
Mailing Address3556 Market Pl W Ste 109University Place, WA 98466-4339 · (253) 215-1122 · Fax (253) 215-1123
Phone(253) 215-1122
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1013018019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD00047375✔ Licensed in OK · 24101
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.
3556 MARKET PL W STE 109, University Place, WA 98466
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Other Identifiers 1

Medicaid1054563WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Lea Semones 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.

Areas of Expertise CMS Part B claims 2

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.
101 services86 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.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98466 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 3

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

HANNAH R DUNCAN PAC
Physician Assistant
3556 MARKET PL W STE 109
UNIVERSITY PLACE, WA 98466
Pierce County (253) 534-4640
FRANCISCAN MEDICAL GROUP
Family Medicine
3556 MARKET PL W STE 109
UNIVERSITY PLACE, WA 98466
Pierce County (253) 215-1122
MICHAEL DAN WINGREN MD
Family Medicine
3556 MARKET PL W STE 109
UNIVERSITY PLACE, WA 98466
Pierce County (253) 215-1095

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 Semones's NPI number?

The NPI number for Karen Semones is 1013018019. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Karen Semones located?

Karen Semones practices at 3556 Market Pl W Ste 109, University Place, WA 98466. The listed phone number is (253) 215-1122.

What is Karen Semones's specialty?

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

Is Karen Semones enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Karen Semones was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.