S KAREN EVANS MD
NPI 1144251778
Family Medicine in Albuquerque, NM

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
8300 CONSTITUTION AVE NE, PMG FAMILY MEDICINE, ALBUQUERQUE, NM 87110(505) 291-2402(505) 291-2499 Get Directions Write a Review

NPPES record last updated: August 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About S Karen Evans Md NPPES

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

S KAREN EVANS MD (NPI 1144251778) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (2002-0030) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (1999).

NPPES Registry Identity

NPI1144251778
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameS KAREN EVANSCredential: MD
Location Address8300 CONSTITUTION AVE NE, PMG FAMILY MEDICINEAlbuquerque, NM 87110
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Fax(505) 291-2499
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1999
Enumeration DateJuly 5, 2006
Last NPPES UpdateAugust 15, 2008
NPI 1144251778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · 2002-0030
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.
8300 CONSTITUTION AVE NE, Albuquerque, NM 87110

Other Identifiers 3

Medicare UPINH59986
Medicaid78670535NM
Medicare PIN344629701

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 and accepts Medicare assignment

S Karen Evans 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 ID5092718833
PECOS Enrollment IDI20060914000423
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.
323 services195 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.
70 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers29 claims29 services$14.56 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
5 suppliers38 claims38 services$69.47 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.

Family Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Physical Therapist
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Internal Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Social Worker (Clinical)
8300 CONSTITUTION AVE NE, CLINICAL LIAISONS
ALBUQUERQUE, NM 87110
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8300 CONSTITUTION AVE NE, PMG AT 8300 CONSTITUTION POB
ALBUQUERQUE, NM 87110
Psychologist (Clinical Child & Adolescent)
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110

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 S Karen Evans's NPI number?

The NPI number for S Karen Evans is 1144251778. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is S Karen Evans located?

S Karen Evans practices at 8300 Constitution Ave NE Pmg Family Medicine, Albuquerque, NM 87110. The listed phone number is (505) 291-2402.

What is S Karen Evans's specialty?

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

Is S Karen Evans enrolled in Medicare?

Yes. S Karen Evans 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 S Karen Evans accept?

Health plans from UnitedHealthcare list S Karen Evans 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 S Karen Evans affiliated with any hospitals?

According to CMS data, S Karen Evans is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for S Karen Evans was last updated on August 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.