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DR. KAREN DIANE ANTHONY M.D.
NPI 1205867694
Pathology - Anatomic Pathology & Clinical Pathology in Colorado Springs, CO

Active since July 05, 2006PECOS Enrolled
2838 JANITELL RD E, COLORADO SPRINGS, CO 80906(719) 368-7247(719) 359-5500 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Karen Diane Anthony M.d. NPPES

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

DR. KAREN DIANE ANTHONY M.D. (NPI 1205867694) is an individual anatomic pathology & clinical pathology provider in Colorado Springs, Colorado, licensed in Colorado (40816) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205867694
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. KAREN DIANE ANTHONYCredential: M.D.
Location Address2838 JANITELL RD EColorado Springs, CO 80906-4141
Mailing Address2838 Janitell Rd EColorado Springs, CO 80906-4141 · (719) 368-7247 · Fax (719) 359-5500
Phone(719) 368-7247
Fax(719) 359-5500
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateFebruary 14, 2017
✔ NPI 1205867694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CO · 40816
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2838 JANITELL RD E, Colorado Springs, CO 80906
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Other Identifiers 4

Medicare UPINAN492678CO
Medicare PINP00357921CO
Medicare PINC806287CO
Medicaid30426375CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen Diane Anthony 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 Reassignments

2

Medicare enrollment records show Karen Anthony reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Colorado Springs Pathology Associates, P.C.
0.5 mi
Anatomic Pathology & Clinical Pathology
2838 JANITELL RD., E
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Colorado Springs Pathology Associates PC
  • 4 clinicians in this Medicare group
NPI 1639101835 (719) 368-7247
Apex Physical Medicine And Rehabilitation Professional LLC
3.9 mi
Physical Medicine & Rehabilitation
1605 N UNION BLVD
Colorado Springs, CO 80909
  • Reassigned Medicare billing, Colorado enrollment
  • 12 clinicians in this Medicare group
NPI 1548093032 (719) 635-3764

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 80906 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Anthony's NPI number?

The NPI number for Karen Anthony is 1205867694. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Karen Anthony located?

Karen Anthony practices at 2838 Janitell Rd E, Colorado Springs, CO 80906. The listed phone number is (719) 368-7247.

What is Karen Anthony's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Karen Anthony enrolled in Medicare?

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

Which organizations bill Medicare for Karen Anthony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Anthony reassigns Medicare benefits to 2 organizations: Colorado Springs Pathology Associates, P.C. (Colorado Springs, CO) and Apex Physical Medicine And Rehabilitation Professional LLC (Colorado Springs, CO). Each 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 Anthony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Anthony accept?

Health plans from Blue Cross Blue Shield of Wyoming list Karen Anthony 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 Anthony was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.