KAREN S PLAYFORTH MD
NPI 1285619510
Obstetrics & Gynecology - Maternal & Fetal Medicine in Lexington, KY
About Karen S Playforth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN S PLAYFORTH MD (NPI 1285619510) is an individual maternal & fetal medicine provider in Lexington, Kentucky, licensed in Kentucky (44048) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Karen S Playforth 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.
Medicare Billing Reassignments
3Medicare enrollment records show Karen Playforth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 clinicians in this Medicare group
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 999 clinicians in this Medicare group
London, KY 40741
- Reassigned Medicare billing, Kentucky enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Lexington
Acute Care Hospitals · Lexington, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Playforth's NPI number?
The NPI number for Karen Playforth is 1285619510. It was assigned to this individual provider in the NPPES registry on December 9, 2005.
Where is Karen Playforth located?
Karen Playforth practices at 800 Rose St C358, Lexington, KY 40536. The listed phone number is (859) 218-5692.
What is Karen Playforth's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.
Is Karen Playforth enrolled in Medicare?
Yes. Karen Playforth 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.
Which organizations bill Medicare for Karen Playforth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Playforth reassigns Medicare benefits to 3 organizations: Kentucky Medical Services Foundation, Inc (Lexington, KY), Baptist Health Medical Group Inc (Lexington, KY) and London Women's Care, LLC (London, KY). 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 Playforth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Playforth accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Karen Playforth 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 Playforth affiliated with any hospitals?
According to CMS data, Karen Playforth is affiliated with Baptist Health Lexington.
When was this NPI record last updated?
The NPPES record for Karen Playforth was last updated on April 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Karen S Playforth, MD · NPI 1285619510
Maternal & Fetal Medicine physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since December 9, 2005.
## Identity
- **NPI:** 1285619510 (Entity type: Individual)
- **Enumerated:** December 9, 2005
- **Primary specialty:** Obstetrics & Gynecology - Maternal & Fetal Medicine · taxonomy 207VM0101X
- **State license:** 44048 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 ROSE ST, C358, Lexington, KY 40536-0293
- **Phone:** (859) 218-5692
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY); Baptist Health Medical Group Inc (NPI 1518360296, Lexington, KY); London Women's Care, LLC (NPI 1063454650, London, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 1999
## Record status
- **NPPES last updated:** April 17, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1285619510) · Data from the CMS NPPES public registry.