KAREN PENCE METZ NP
NPI 1285826883
Nurse Practitioner - Family in Cullman, AL

Active since August 16, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1900 MAIN AVE SW, SUITE 3, CULLMAN, AL 35055(256) 739-0455(256) 739-2706 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Pence Metz Np NPPES

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

KAREN PENCE METZ NP (NPI 1285826883) is an individual family provider in Cullman, Alabama, licensed in Alabama (1-080321) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1285826883
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN PENCE METZCredential: NP
Location Address1900 MAIN AVE SW, SUITE 3Cullman, AL 35055-7200
Mailing Address1900 Main Ave Sw, Suite 3Cullman, AL 35055-7200 · (256) 739-0455 · Fax (256) 739-2706
Fax(256) 739-2706
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 16, 2007
Last NPPES UpdateJuly 24, 2012
NPI 1285826883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-080321
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-080321 (AL)
1900 MAIN AVE SW, Cullman, AL 35055

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 Pence Metz Np 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 ID8123284593
PECOS Enrollment IDI20120730000658
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 4

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.
2,117 services437 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.
684 services319 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
160 services160 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
70 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35055 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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…
97%189 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
98%63 patients4/55-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.

Other Providers at the Same Location NPPES 11

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

Family Medicine
1900 MAIN AVE SW
CULLMAN, AL 35055
Clinic/Center (Hearing and Speech)
1900 MAIN AVE SW, SUITE 1
CULLMAN, AL 35055
Pediatrics
1900 MAIN AVE SW
CULLMAN, AL 35055
Nurse Practitioner (Pediatrics)
1900 MAIN AVE SW
CULLMAN, AL 35055
Legal Medicine
1900 MAIN AVE SW
CULLMAN, AL 35055
Family Medicine
1900 MAIN AVE SW
CULLMAN, AL 35055
Audiologist-Hearing Aid Fitter
1900 MAIN AVE SW, SUITE 1
CULLMAN, AL 35055
Nurse Practitioner (Family)
1900 MAIN AVE SW
CULLMAN, AL 35055

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 Metz's NPI number?

The NPI number for Karen Metz is 1285826883. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Where is Karen Metz located?

Karen Metz practices at 1900 Main Ave SW Suite 3, Cullman, AL 35055. The listed phone number is (256) 739-0455.

What is Karen Metz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Metz enrolled in Medicare?

Yes. Karen Metz 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 Metz was last updated on July 24, 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.