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KAREN G CONNAUGHTON MD
NPI 1023102415
Emergency Medicine in Espanola, NM

Active since October 03, 2006PECOS Enrolled
83.84/100
CMS Quality Rating
1010 SPRUCE ST, ESPANOLA HOSPITAL, ESPANOLA, NM 87532(505) 753-7111(505) 753-4438 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen G Connaughton Md NPPES

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

KAREN G CONNAUGHTON MD (NPI 1023102415) is an individual emergency medicine provider in Espanola, New Mexico, licensed in New Mexico (20030408) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023102415
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKAREN G CONNAUGHTONCredential: MD
Location Address1010 SPRUCE ST, ESPANOLA HOSPITALEspanola, NM 87532-2724
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5654
Phone(505) 753-7111
Fax(505) 753-4438
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 15, 2008
✔ NPI 1023102415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · 20030408
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1010 SPRUCE ST, Espanola, NM 87532
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Other Identifiers 1

Medicare PIN341335105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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 G Connaughton Md 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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services95 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
74 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87532 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

EMILY DRUMMOND DO
Emergency Medicine
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
BAILEY PEARSON FNP-C
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
KIMBERLY ALLEN
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
REBECCA JANE WALLIG DO
Pediatrics
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
CHELSEA D KIRBY MD
Pediatrics
1010 SPRUCE ST, ESPANOLA MULTISPECIALTY CLINIC
ESPANOLA, NM 87532
Rio Arriba County (505) 753-8031
VIDYA SUBRAMANIAN MD
Family Medicine
1010 SPRUCE ST, ESPANOLA MULTI-SPECIALTY CLINIC
ESPANOLA, NM 87532
Rio Arriba County (505) 367-0340
LARRY L COHEN MD
Family Medicine
1010 SPRUCE ST, ESPANOLA HOSPITAL
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111
PRESBYTERIAN HEALTHCARE SERVICES
General Acute Care Hospital (Rural)
1010 SPRUCE ST
ESPANOLA, NM 87532
Rio Arriba County (505) 753-7111

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 Connaughton's NPI number?

The NPI number for Karen Connaughton is 1023102415. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Karen Connaughton located?

Karen Connaughton practices at 1010 Spruce St Espanola Hospital, Espanola, NM 87532. The listed phone number is (505) 753-7111.

What is Karen Connaughton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Karen Connaughton enrolled in Medicare?

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

What insurance does Karen Connaughton accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Karen Connaughton 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.

When was this NPI record last updated?

The NPPES record for Karen Connaughton was last updated on July 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.