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: October 18, 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
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

Other Identifiers 1

Medicare PIN341335105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Connaughton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural
1010 SPRUCE ST
Espanola, NM 87532
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
Emergency Medicine
4900 N LOVINGTON HWY
Hobbs, NM 88240
  • Reassigned Medicare billing, New Mexico enrollment
  • 119 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency Medicine
1010 SPRUCE ST
ESPANOLA, NM 87532
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Nurse Practitioner (Family)
1010 SPRUCE ST
ESPANOLA, NM 87532
Pediatrics
1010 SPRUCE ST
ESPANOLA, NM 87532
Pediatrics
1010 SPRUCE ST, ESPANOLA MULTISPECIALTY CLINIC
ESPANOLA, NM 87532
Family Medicine
1010 SPRUCE ST, ESPANOLA MULTI-SPECIALTY CLINIC
ESPANOLA, NM 87532
Family Medicine
1010 SPRUCE ST, ESPANOLA HOSPITAL
ESPANOLA, NM 87532
General Acute Care Hospital (Rural)
1010 SPRUCE ST
ESPANOLA, NM 87532

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.

Which organizations bill Medicare for Karen Connaughton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Connaughton reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Espanola, NM) and Hospitalist Medicine Physicians Of New Mexico - Clovis, LLC (Hobbs, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Connaughton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Connaughton was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.