KAREN S NIPPER M.D.
NPI 1124093059
Ophthalmology in Waterbury, CT

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
83.24/100
CMS Quality Rating
87 GRANDVIEW AVE, WATERBURY, CT 06708(203) 574-2020 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2021, Feb 7, 2021, Nov 27, 2019 and 2 more (5 updates tracked since 2018).

About Karen S Nipper M.d. NPPES

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

KAREN S NIPPER M.D. (NPI 1124093059) is an individual ophthalmology provider in Waterbury, Connecticut, licensed in Connecticut (54232) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2000).

NPPES Registry Identity

NPI1124093059
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKAREN S NIPPERCredential: M.D.
Location Address87 GRANDVIEW AVEWaterbury, CT 06708-2514
Mailing Address87 Grandview AveWaterbury, CT 06708-2514 · (203) 574-2020
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2000
Enumeration DateFebruary 22, 2006
Last NPPES UpdateNovember 3, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
NPI 1124093059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in CT · 54232 Licensed in NY · 251101
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 54232 (CT)
87 GRANDVIEW AVE, Waterbury, CT 06708

Other Identifiers 2

Other251101NY · Ny
Other54232CT · Ct

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 S Nipper 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 ID547235293
PECOS Enrollment IDI20151203001517
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 15

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
532 services275 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
246 services163 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
190 services172 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
88 services14 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
54 services49 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
45 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06708 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

83.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.18
Promoting Interoperability65
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
99%241 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
97%64 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
69%1,109 patients3/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
85%93 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,421 patients
Patients screened: 99% · 1,421 patients
80%98 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
51%623 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,173 patients
Patients totalRate: 0% · 1,173 patients
0%1,173 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Ophthalmology
87 GRANDVIEW AVE
WATERBURY, CT 06708
Clinic/Center (Ambulatory Surgical)
87 GRANDVIEW AVE
WATERBURY, CT 06708
Clinic/Center (Ambulatory Surgical)
87 GRANDVIEW AVE
WATERBURY, CT 06708
Ophthalmology
87 GRANDVIEW AVE
WATERBURY, CT 06708
Ophthalmology
87 GRANDVIEW AVE
WATERBURY, CT 06708
Ophthalmology
87 GRANDVIEW AVE
WATERBURY, CT 06708
Ophthalmology
87 GRANDVIEW AVE
WATERBURY, CT 06708
Optometrist
87 GRANDVIEW AVE
WATERBURY, CT 06708

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 Nipper's NPI number?

The NPI number for Karen Nipper is 1124093059. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Karen Nipper located?

Karen Nipper practices at 87 Grandview Ave, Waterbury, CT 06708. The listed phone number is (203) 574-2020.

What is Karen Nipper's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Karen Nipper enrolled in Medicare?

Yes. Karen Nipper 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 Nipper was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.