DR. KAREN MICHELLE CUSTODIO DO
NPI 1033734447
Family Medicine - Hospice and Palliative Medicine in Burlington, VT

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, Jul 11, 2024, Jun 27, 2024 and 1 more (4 updates tracked since 2020).

About Dr. Karen Michelle Custodio Do NPPES

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

DR. KAREN MICHELLE CUSTODIO DO (NPI 1033734447) is an individual hospice and palliative medicine provider in Burlington, Vermont, licensed in Vermont (032.0134274) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033734447
Entity TypeIndividualFemale
Primary Taxonomy207QH0002X
Provider Legal NameDR. KAREN MICHELLE CUSTODIOCredential: DO
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address1 Medical Center DrLebanon, NH 03756-0001
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2020
Enumeration DateJune 11, 2020
Last NPPES UpdateOctober 16, 20254 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
NPI 1033734447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License Licensed in VT · 032.0134274
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 032.0134274 (VT), OT019969 (PA), 338635 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R4289 (NH)
111 COLCHESTER AVE, Burlington, VT 05401

Secondary Practice Locations 3

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-3834
Location 21 Medical Center DrLebanon, NH 03756-1000 · Phone (603) 650-5000
Location 375 Beekman StPlattsburgh, NY 12901-1438 · Phone (518) 561-2000

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

Dr. Karen Michelle Custodio Do 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 ID2769928522
PECOS Enrollment IDI20250904000976, I20250905000129
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.

Hospital Affiliations CMS Care Compare 2

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 20

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

Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Nurse Practitioner (Neonatal)
111 COLCHESTER AVE
BURLINGTON, VT 05401

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 Custodio's NPI number?

The NPI number for Karen Custodio is 1033734447. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Karen Custodio located?

Karen Custodio practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-0000.

What is Karen Custodio's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Karen Custodio enrolled in Medicare?

Yes. Karen Custodio 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 Custodio accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Custodio 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 Custodio affiliated with any hospitals?

According to CMS data, Karen Custodio is affiliated with Champlain Valley Physicians Hospital Medical Ctr and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Karen Custodio was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.