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DR. KAREN ELIZABETH STARRETT M.D.
NPI 1205912425
Pediatrics in Springboro, OH

Active since October 31, 2006PECOS Enrolled
825 N MAIN ST STE 210, SPRINGBORO, OH 45066(937) 762-5500(937) 762-5099 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2026, Nov 2, 2022 (2 updates tracked since 2022).

About Dr. Karen Elizabeth Starrett M.d. NPPES

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

DR. KAREN ELIZABETH STARRETT M.D. (NPI 1205912425) is an individual pediatrics provider in Springboro, Ohio, licensed in Ohio (35077371) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1205912425
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KAREN ELIZABETH STARRETTCredential: M.D.
Location Address825 N MAIN ST STE 210Springboro, OH 45066-2100
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 762-5500
Fax(937) 762-5099
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1205912425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35077371
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.
825 N MAIN ST STE 210, Springboro, OH 45066
Open in Google Maps ↗

Secondary Practice Locations 4

Location 15501 Far Hills Ave Ste 200Dayton, OH 45429-2203 · Phone (937) 436-2866 · Fax (937) 436-1468
Location 21425 N Fairfield Rd Ste 130Beavercreek, OH 45432-2674 · Phone (937) 320-1950 · Fax (937) 320-9332
Location 31516 Yankee Park PlDayton, OH 45458-1878 · Phone (937) 438-1115 · Fax (937) 438-1291
Location 43333 W Tech Rd Ste 220Miamisburg, OH 45342-0956 · Phone (937) 885-4475 · Fax (937) 885-3670

Other Identifiers 7

Other2007228United Health Care
Other7552149OH · Aetna
Medicaid2262135OH
Other2262135Bcmh
Other000000546684Anthem
Other522374873032Caresource
Other5430945-007Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Elizabeth Starrett 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 Starrett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alliance Physicians Inc
0.1 mi
Family Medicine
825 N. MAIN ST., SUITE 140
Springboro, OH 45066
  • Reassigned Medicare billing, Ohio enrollment
  • 364 clinicians in this Medicare group
NPI 1871930917 (937) 762-5000
Dayton Children's Specialty Physicians, Inc.
16 mi
Pediatrics
1 CHILDRENS PLZ
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
  • 479 clinicians in this Medicare group
NPI 1225192610 (937) 641-4000

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 45066 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

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

JOIA LYNN HENSON CPNP
Nurse Practitioner (Pediatrics)
825 N MAIN ST STE 210
SPRINGBORO, OH 45066
Warren County (937) 762-5500

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 Starrett's NPI number?

The NPI number for Karen Starrett is 1205912425. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Karen Starrett located?

Karen Starrett practices at 825 N Main St Ste 210, Springboro, OH 45066. The listed phone number is (937) 762-5500.

What is Karen Starrett's specialty?

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

Is Karen Starrett enrolled in Medicare?

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

Which organizations bill Medicare for Karen Starrett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Starrett reassigns Medicare benefits to 2 organizations: Alliance Physicians Inc (Springboro, OH) and Dayton Children's Specialty Physicians, Inc. (Dayton, OH). 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 Starrett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Starrett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Karen Starrett 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 Starrett was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.