MRS. KAREN SUE SMITH PA-C
NPI 1053387464
Physician Assistant - Medical in Marysville, OH

Active since February 25, 2006PECOS EnrolledAccepts Medicare Assignment
87.77/100
CMS Quality Rating
140 COLEMANS XING STE 200, MARYSVILLE, OH 43040(937) 578-4300(937) 578-4311 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Karen Sue Smith Pa-c NPPES

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

MRS. KAREN SUE SMITH PA-C (NPI 1053387464) is an individual medical provider in Marysville, Ohio, licensed in Ohio (2745) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of Nebraska College Of Medicine (2006).

NPPES Registry Identity

NPI1053387464
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KAREN SUE SMITHCredential: PA-C
Location Address140 COLEMANS XING STE 200Marysville, OH 43040-7195
Mailing Address140 Colemans Xing Ste 200Marysville, OH 43040-7195 · (937) 578-4300 · Fax (937) 578-4311
Fax(937) 578-4311
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2006
Enumeration DateFebruary 25, 2006
Last NPPES UpdateMay 10, 2024
NPPES CertifiedMay 10, 2024
NPI 1053387464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OH · 2745
140 COLEMANS XING STE 200, Marysville, OH 43040

Other Identifiers 1

MedicaidPENDINGOH

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

Mrs. Karen Sue Smith Pa-c 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 ID8527079441
PECOS Enrollment IDI20081008000039
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 7

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 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.
127 services100 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
126 services88 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
98 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services23 patients
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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

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.

87.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.17
Promoting Interoperability100
Improvement Activities40
Cost71.09

Other Providers at the Same Location NPPES 4

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

Audiologist
140 COLEMANS XING STE 200
MARYSVILLE, OH 43040
Otolaryngology
140 COLEMANS XING STE 200
MARYSVILLE, OH 43040
Audiologist
140 COLEMANS XING STE 200
MARYSVILLE, OH 43040
Audiologist
140 COLEMANS XING STE 200
MARYSVILLE, OH 43040

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 Smith's NPI number?

The NPI number for Karen Smith is 1053387464. It was assigned to this individual provider in the NPPES registry on February 25, 2006.

Where is Karen Smith located?

Karen Smith practices at 140 Colemans Xing Ste 200, Marysville, OH 43040. The listed phone number is (937) 578-4300.

What is Karen Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Karen Smith enrolled in Medicare?

Yes. Karen Smith 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 Smith accept?

Health plans from MedMutual, Molina Healthcare and Oscar Health Insurance list Karen Smith 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 Smith affiliated with any hospitals?

According to CMS data, Karen Smith is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karen Smith was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.