MRS. KAREN DIANA HERSHFELD PA-C
NPI 1104837269
Physician Assistant in Oakland, MD

Active since August 11, 2006PECOS Enrolled
74.66/100
CMS Quality Rating
251 N 4TH ST, OAKLAND, MD 21550(301) 533-4000(301) 533-4208 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Karen Diana Hershfeld Pa-c NPPES

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

MRS. KAREN DIANA HERSHFELD PA-C (NPI 1104837269) is an individual physician assistant in Oakland, Maryland, licensed in Maryland (C0001983) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1104837269
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KAREN DIANA HERSHFELDCredential: PA-C
Location Address251 N 4TH STOakland, MD 21550
Mailing AddressPo Box 597Oakland, MD 21550-4597 · (301) 533-4000 · Fax (301) 533-4208
Fax(301) 533-4208
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 27, 2018
NPI 1104837269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C0001983
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

251 N 4TH ST, Oakland, MD 21550

Other Names 1

Former Name (1)Karen Diana Kime

Secondary Practice Location 1

Location 117 Western Maryland Pkwy, Suite 100Hagerstown, MD 21740-5471 · Phone (301) 797-6389 ext. 1187 · Fax (301) 797-4119

Other Identifiers 1

Medicaid1104837269WV

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 (PECOS)

Mrs. Karen Diana Hershfeld Pa-c 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 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.
113 services110 patients
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.
80 services78 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
56 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21550 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

74.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.28
Promoting Interoperability100
Improvement Activities20

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.

Nurse Anesthetist, Certified Registered
251 N 4TH ST
OAKLAND, MD 21550
Nurse Practitioner (Family)
251 N 4TH ST
OAKLAND, MD 21550
Nurse Anesthetist, Certified Registered
251 N 4TH ST
OAKLAND, MD 21550
Physician Assistant
251 N 4TH ST
OAKLAND, MD 21550
Emergency Medicine
251 N 4TH ST
OAKLAND, MD 21550
Anesthesiology
251 N 4TH ST
OAKLAND, MD 21550
Physician Assistant
251 N 4TH ST
OAKLAND, MD 21550
Registered Nurse (Diabetes Educator)
251 N 4TH ST
OAKLAND, MD 21550

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 Hershfeld's NPI number?

The NPI number for Karen Hershfeld is 1104837269. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Karen Diana Kime.

Where is Karen Hershfeld located?

Karen Hershfeld practices at 251 N 4th St, Oakland, MD 21550. The listed phone number is (301) 533-4000.

What is Karen Hershfeld's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karen Hershfeld enrolled in Medicare?

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

What insurance does Karen Hershfeld accept?

Health plans from CareSource list Karen Hershfeld 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 Hershfeld was last updated on September 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.