KAREN L MCGHEE DO
NPI 1174522288
Family Medicine in Newark, DE

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
111 CONTINENTAL DR, SUITE 406, NEWARK, DE 19713(302) 368-2630(302) 368-1271 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Karen L Mcghee Do NPPES

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

KAREN L MCGHEE DO (NPI 1174522288) is an individual family medicine provider in Newark, Delaware, licensed in Delaware (C2-0007018) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1174522288
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN L MCGHEECredential: DO
Location Address111 CONTINENTAL DR, SUITE 406Newark, DE 19713-4306
Mailing Address111 Continental Dr, Suite 406Newark, DE 19713-4306 · (302) 368-2630 · Fax (302) 368-1271
Fax(302) 368-1271
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateJuly 20, 2005
Last NPPES UpdateDecember 3, 2008
NPI 1174522288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in DE · C2-0007018 Licensed in NJ · MB077652
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.

111 CONTINENTAL DR, Newark, DE 19713

Other Identifiers 2

Medicare PIN137224ZAG8DE
Medicare UPINI27436

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 L Mcghee Do 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 ID1759328107
PECOS Enrollment IDI20081112000627
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
541 services141 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
334 services182 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
242 services210 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
194 services171 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
146 services126 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
116 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%298 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$23.07 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$8.87 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers24 claims24 services$37.78 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers34 claims34 services$13.23 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$19.15 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier39 claims39 services$6.72 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.

Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR, SUITE 412
NEWARK, DE 19713
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR, SUITE 412
NEWARK, DE 19713
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR, SUITE 412
NEWARK, DE 19713
Family Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
Internal Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
Internal Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
Internal Medicine
111 CONTINENTAL DR, SUITE 406
NEWARK, DE 19713
Nurse Anesthetist, Certified Registered
111 CONTINENTAL DR
NEWARK, DE 19713

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 Mcghee's NPI number?

The NPI number for Karen Mcghee is 1174522288. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Karen Mcghee located?

Karen Mcghee practices at 111 Continental Dr Suite 406, Newark, DE 19713. The listed phone number is (302) 368-2630.

What is Karen Mcghee's specialty?

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

Is Karen Mcghee enrolled in Medicare?

Yes. Karen Mcghee 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 Mcghee was last updated on December 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.