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KAREN AGNEW M.D.
NPI 1164735569
Pediatrics in Mason, OH

Active since July 14, 2010PECOS Enrolled
9600 CHILDREN DR, BLDG D, SUITE 100, MASON, OH 45040(513) 336-6700 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Agnew M.d. NPPES

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

KAREN AGNEW M.D. (NPI 1164735569) is an individual pediatrics provider in Mason, Ohio, licensed in Ohio (35.120553) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164735569
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAREN AGNEWCredential: M.D.
Location Address9600 CHILDREN DR, BLDG D, SUITE 100Mason, OH 45040-6791
Mailing Address9600 Children Dr, Bldg D, Suite 100Mason, OH 45040-6791 · (513) 336-6700
Phone(513) 336-6700
Sole ProprietorNo
Enumeration DateJuly 14, 2010
Last NPPES UpdateMarch 5, 2019
✔ NPI 1164735569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.120553
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9600 CHILDREN DR, Mason, OH 45040
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Other Identifiers 1

Medicaid0090016OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Agnew M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Agnew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chmc Community Health Services Network
15 mi
Pediatrics
7502 STATE RD STE 3350
Cincinnati, OH 45255
  • Reassigned Medicare billing, Ohio enrollment
  • 50 clinicians in this Medicare group
NPI 1023637774 (513) 231-3345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45040 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

Other Providers at the Same Location NPPES 3

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

DR. AMANDA SUE LEE M.D.
Pediatrics
9600 CHILDREN DR
MASON, OH 45040
Warren County (513) 336-6700
JESSICA MCCOY MOT, OTR/L
Occupational Therapist (Pediatrics)
9600 CHILDREN DR
MASON, OH 45040
Warren County (513) 636-4601
SUBURBAN PEDIATRICS
Clinic/Center
9600 CHILDREN DR
MASON, OH 45040
Warren County (513) 336-6700

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 Agnew's NPI number?

The NPI number for Karen Agnew is 1164735569. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Karen Agnew located?

Karen Agnew practices at 9600 Children Dr Bldg D, Suite 100, Mason, OH 45040. The listed phone number is (513) 336-6700.

What is Karen Agnew's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Agnew enrolled in Medicare?

Yes. Karen Agnew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Agnew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Agnew reassigns Medicare benefits to Chmc Community Health Services Network (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Agnew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Agnew accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Karen Agnew 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.

When was this NPI record last updated?

The NPPES record for Karen Agnew was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.