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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KAREN A SULLIVAN MD
NPI 1144286584
Internal Medicine in Wyndmoor, PA

Active since April 25, 2006PECOS Enrolled
8200 FLOURTOWN AVENUE, WYNDMOOR, PA 19038(215) 836-5100(215) 836-6011 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karen A Sullivan Md NPPES

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

DR. KAREN A SULLIVAN MD (NPI 1144286584) is an individual internal medicine provider in Wyndmoor, Pennsylvania, licensed in Pennsylvania (MD042254E) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Temple Health - Chestnut Hill Hospital, and is a graduate of Medical College Of Pennsylvania (1987).

NPPES Registry Identity

NPI1144286584
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAREN A SULLIVANCredential: MD
Location Address8200 FLOURTOWN AVENUEWyndmoor, PA 19038
Mailing Address8200 Flourtown Avenue, Ste 7Wyndmoor, PA 19038 · (215) 836-5100 · Fax (215) 836-6011
Phone(215) 836-5100
Fax(215) 836-6011
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1987
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1144286584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD042254E
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.
8200 FLOURTOWN AVENUE, Wyndmoor, PA 19038
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Other Names 1

Other Name (5)Dr. Karen A Spielberger

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Karen A Sullivan 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 ID4981897121
PECOS Enrollment IDI20101020001340
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 13

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.
396 services215 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
389 services262 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.
246 services172 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.
246 services246 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
112 services110 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
108 services106 patients

Hospital Affiliations CMS Care Compare 5

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

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19038 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
85%482 patients5/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
64%56 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,899 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
9%476 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%88 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
30%945 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%873 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%945 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
38%945 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
34%945 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers23 claims71 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims29 services$1.02 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
2 suppliers14 claims19 services$201.45 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 6

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

KAGEN & BARDIN ASSOCIATES LLP
Internal Medicine
8200 FLOURTOWN AVENUE, SUITE 6
WYNDMOOR, PA 19038
Montgomery County (215) 233-1555
HEIDI WITTELS, M.D. LLC
Integrative Medicine
8200 FLOURTOWN AVENUE, STE. 6
WYNDMOOR, PA 19038
Montgomery County (215) 233-6226
DR. MANAV SEGAL M.D.
Allergy & Immunology
8200 FLOURTOWN AVENUE, SUITE 4
WYNDMOOR, PA 19038
Montgomery County (215) 247-2292
DR. BENJAMIN ROSS SANFILIPPO-COHN M.D.
Family Medicine
8200 FLOURTOWN AVENUE, SUITE 2
WYNDMOOR, PA 19038
Montgomery County (215) 836-5100
TRUDY GREGSON LPC
Counselor (Professional)
8200 FLOURTOWN AVENUE, SUITE 1C
WYNDMOOR, PA 19038
Montgomery County (267) 652-1732
PRIYA MEHTA M.D.
Allergy & Immunology
8200 FLOURTOWN AVENUE, STE 4
WYNDMOOR, PA 19038
Montgomery County (215) 247-2292

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 Sullivan's NPI number?

The NPI number for Karen Sullivan is 1144286584. It was assigned to this individual provider in the NPPES registry on April 25, 2006. The provider is also known as Dr. Karen A Spielberger.

Where is Karen Sullivan located?

Karen Sullivan practices at 8200 Flourtown Avenue, Wyndmoor, PA 19038. The listed phone number is (215) 836-5100.

What is Karen Sullivan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Sullivan enrolled in Medicare?

Yes. Karen Sullivan 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 Sullivan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen Sullivan 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 Sullivan affiliated with any hospitals?

According to CMS data, Karen Sullivan is affiliated with Temple Health - Chestnut Hill Hospital, Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Chester County Hospital and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Karen Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.