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KAREN LYNN FOULDS M.D.
NPI 1114980224
Family Medicine in Holland, MI

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
904 S WASHINGTON AVE, SUITE 210, HOLLAND, MI 49423(616) 392-8035(616) 392-7404 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Lynn Foulds M.d. NPPES

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

KAREN LYNN FOULDS M.D. (NPI 1114980224) is an individual family medicine provider in Holland, Michigan, licensed in Michigan (KF058772) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Michigan State University College Of Human Medicine (1989).

NPPES Registry Identity

NPI1114980224
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN LYNN FOULDSCredential: M.D.
Location Address904 S WASHINGTON AVE, SUITE 210Holland, MI 49423-7724
Mailing Address904 S Washington Ave, Suite 210Holland, MI 49423-7724 · (616) 392-8035 · Fax (616) 392-7404
Phone(616) 392-8035
Fax(616) 392-7404
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1989
Enumeration DateApril 10, 2006
Last NPPES UpdateNovember 18, 2013
✔ NPI 1114980224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · KF058772
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
904 S WASHINGTON AVE, Holland, MI 49423
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Other Identifiers 3

Medicare ID-Type UnspecifiedOM13660MI
Medicaid3164025 10MI
Medicare UPING14235MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Karen Lynn Foulds M.d. 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 ID4688740020
PECOS Enrollment IDI20080909000176
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.

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.
107 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
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.
26 services20 patients

Hospital Affiliations CMS Care Compare

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

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers23 claims39 services$5.48 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 8

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

WILLIAM BARRY BONZELAAR M.D.032354
Family Medicine
904 S WASHINGTON AVE, SUITE 210
HOLLAND, MI 49423
Allegan County (616) 392-8035
RUSSELL LEE DYKSTRA M.D.
Family Medicine
904 S WASHINGTON AVE, SUITE 210
HOLLAND, MI 49423
Allegan County (616) 392-8035
HOLLAND FOOT AND ANKLE CENTER PC
Podiatrist
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472
FRANCOIS HARTON DPM
Podiatrist
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472
WESTSHORE ENDODONTICS, P.C.
Dentist (Endodontics)
904 S WASHINGTON AVE, SUITE 110
HOLLAND, MI 49423
Allegan County (616) 392-6385
RICHARD M SEILER DPM
Podiatrist
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472
JEFFREY ALLEN MULDOON D.P.M.
Podiatrist (Foot & Ankle Surgery)
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472
DOUGLAS L MAGUIRE DPM
Podiatrist
904 S WASHINGTON AVE
HOLLAND, MI 49423
Allegan County (616) 392-7472

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 Foulds's NPI number?

The NPI number for Karen Foulds is 1114980224. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Karen Foulds located?

Karen Foulds practices at 904 S Washington Ave Suite 210, Holland, MI 49423. The listed phone number is (616) 392-8035.

What is Karen Foulds's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karen Foulds enrolled in Medicare?

Yes. Karen Foulds 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 Foulds accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Karen Foulds 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 Foulds affiliated with any hospitals?

According to CMS data, Karen Foulds is affiliated with Holland Community Hospital.

When was this NPI record last updated?

The NPPES record for Karen Foulds was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.