KAREN ELAINE ABERNATHY M.D.
NPI 1124312335
Internal Medicine in Rockport, ME

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
15 ANCHOR DR STE 202, ROCKPORT, ME 04856(207) 301-5800 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2023, Jul 21, 2022, Jul 26, 2021 and 3 more (6 updates tracked since 2017).

About Karen Elaine Abernathy M.d. NPPES

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

KAREN ELAINE ABERNATHY M.D. (NPI 1124312335) is an individual internal medicine provider in Rockport, Maine, licensed in Maine (MD25049) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Essex Junction, and is a graduate of University Of Mississippi School Of Medicine (2011).

NPPES Registry Identity

NPI1124312335
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN ELAINE ABERNATHYCredential: M.D.
Location Address15 ANCHOR DR STE 202Rockport, ME 04856-3846
Mailing Address15 Anchor Dr Ste 202Rockport, ME 04856-3846 · (207) 301-5800
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2011
Enumeration DateJune 6, 2011
Last NPPES UpdateSeptember 8, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1124312335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in ME · MD25049 Licensed in VT · 042.0013775
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD25049 (ME)
15 ANCHOR DR STE 202, Rockport, ME 04856

Secondary Practice Location 1

Location 187 Main StEssex Junction, VT 05452-3234 · Phone (802) 847-8354 · Fax (802) 847-6575

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 Elaine Abernathy 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 ID9436371093
PECOS Enrollment IDI20210927002565
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 4

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
11 suppliers15 claims52 services$6.22 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,332 services$0.48 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
4 suppliers30 claims30 services$99.77 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.65 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 5

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

Pharmacist
15 ANCHOR DR STE 202
ROCKPORT, ME 04856
Nurse Practitioner (Family)
15 ANCHOR DR STE 202
ROCKPORT, ME 04856
Nurse Practitioner (Family)
15 ANCHOR DR STE 202
ROCKPORT, ME 04856
Social Worker (Clinical)
15 ANCHOR DR STE 202
ROCKPORT, ME 04856
Physician Assistant
15 ANCHOR DR STE 202
ROCKPORT, ME 04856

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124312335, enumerated as an "individual" on June 06, 2011.

The provider is located at 15 ANCHOR DR STE 202 ROCKPORT, ME 04856 and the phone number is (207) 301-5800.

Internal Medicine with taxonomy code 207R00000X.