KAREN LEIGH LAWES MD
NPI 1215919675
Family Medicine in South Hero, VT

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
52 COMMUNITY LN, SOUTH HERO, VT 05486(802) 372-4687 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Leigh Lawes Md NPPES

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

KAREN LEIGH LAWES MD (NPI 1215919675) is an individual family medicine provider in South Hero, Vermont, licensed in Vermont (042.0017945) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215919675
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN LEIGH LAWESCredential: MD
Location Address52 COMMUNITY LNSouth Hero, VT 05486-4418
Mailing Address617 Riverside AveBurlington, VT 05401-1601 · (802) 864-6309
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1993
Enumeration DateNovember 18, 2005
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1215919675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in VT · 042.0017945 Licensed in ME · TD101111 Licensed in WA · MD00033103
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.
52 COMMUNITY LN, South Hero, VT 05486

Other Names 1

Other Name (5)Karen Lawes Webb

Secondary Practice Locations 3

Location 19 Pleasant StOakland, ME 04963-5074 · Phone (207) 465-2181 · Fax (207) 465-4629
Location 2617 Riverside AveBurlington, VT 05401-1601 · Phone (802) 864-6309
Location 3789 Pine StBurlington, VT 05401-4924 · Phone (802) 864-0693

Other Identifiers 4

Medicaid8371056WA
Other0174274WA · Labor & Industries
Other042.0017945VT · Family Medicine
Medicaid6717164VT

Accepted 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

Karen Leigh Lawes 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 ID2264339571
PECOS Enrollment IDI20101112000039, I20240729003536
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 3

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
16 services16 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
13 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05486 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Referred Medical Equipment & Supplies CMS DME claims 4

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
4 suppliers24 claims59 services$6.18 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4390
DME-Orthotic Devices · category DF010N
1 supplier12 claims230 services$8.48 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims192 services$2.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$8.91 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 2

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

Nurse Practitioner (Family)
52 COMMUNITY LN
SOUTH HERO, VT 05486
Nurse Practitioner (Family)
52 COMMUNITY LN
SOUTH HERO, VT 05486

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 Lawes's NPI number?

The NPI number for Karen Lawes is 1215919675. It was assigned to this individual provider in the NPPES registry on November 18, 2005. The provider is also known as Karen Lawes Webb.

Where is Karen Lawes located?

Karen Lawes practices at 52 Community Ln, South Hero, VT 05486. The listed phone number is (802) 372-4687.

What is Karen Lawes's specialty?

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

Is Karen Lawes enrolled in Medicare?

Yes. Karen Lawes 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 Lawes accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Lawes 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 Lawes affiliated with any hospitals?

According to CMS data, Karen Lawes is affiliated with Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Karen Lawes was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.