DR. KAREN A. FAGAN MD
NPI 1053401737
Internal Medicine - Pulmonary Disease in Washington, DC

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037(202) 741-3540(202) 741-2238 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karen A. Fagan Md NPPES

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

DR. KAREN A. FAGAN MD (NPI 1053401737) is an individual pulmonary disease provider in Washington, District Of Columbia, licensed in Alabama (28767) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1992).

NPPES Registry Identity

NPI1053401737
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KAREN A. FAGANCredential: MD
Location Address2150 PENNSYLVANIA AVE NWWashington, DC 20037-3201
Mailing Address2150 Pennsylvania Ave NwWashington, DC 20037-3201
Fax(202) 741-2238
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1992
Enumeration DateOctober 13, 2006
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
NPI 1053401737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in AL · 28767 Licensed in CO · 33695
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
2150 PENNSYLVANIA AVE NW, Washington, DC 20037

Other Identifiers 5

Medicaid01336957CO
Other51547640AL · Bcbs-3301 Knollwood Dr
Medicaid06135261MS
Other51547639AL · Bcbs-2451 Fillingim St
Other51547630AL · Bcbs - 575 Stanton Rd

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 A. Fagan Md 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 ID2163493941
PECOS Enrollment IDI20240820001957
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services27 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.
44 services23 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.
24 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers48 claims118 services$18.38 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers65 claims640 services$35.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers48 claims48 services$91.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$34.15 avg. paid by Medicare
Injection, treprostinil, 1 mg J3285
Treatment-Injections and Infusions (nononcologic) · category RI026N
2 suppliers58 claims5,210 services$44.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
2150 PENNSYLVANIA AVE NW, SUITE 5-416
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Obstetrics)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Hematology & Oncology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Rheumatology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

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 Fagan's NPI number?

The NPI number for Karen Fagan is 1053401737. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Karen Fagan located?

Karen Fagan practices at 2150 Pennsylvania Ave NW, Washington, DC 20037. The listed phone number is (202) 741-3540.

What is Karen Fagan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Karen Fagan enrolled in Medicare?

Yes. Karen Fagan 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.

When was this NPI record last updated?

The NPPES record for Karen Fagan was last updated on August 6, 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.