KAREN CHRISTY NELSON DO
NPI 1285848119
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bowling Green, KY

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
825 2ND AVE STE B1, BOWLING GREEN, KY 42101(270) 796-3330 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2022, Feb 17, 2022, May 11, 2018 (3 updates tracked since 2018).

About Karen Christy Nelson Do NPPES

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

KAREN CHRISTY NELSON DO (NPI 1285848119) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Bowling Green, Kentucky, licensed in Kentucky (05069) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (2005).

NPPES Registry Identity

NPI1285848119
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameKAREN CHRISTY NELSONCredential: DO
Location Address825 2ND AVE STE B1Bowling Green, KY 42101-1790
Mailing AddressPo Box 2697Bowling Green, KY 42102-7697
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 12, 20223 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1285848119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in KY · 05069 Licensed in WI · 68367-21 Licensed in OH · 34.010720
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
825 2ND AVE STE B1, Bowling Green, KY 42101

Other Identifiers 5

Medicaid3810026129WV
Medicaid100073070WI
Other05069KY · Ky License
Medicaid0075165OH
Other68367-21WI · Wi License

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 Christy Nelson Do 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 ID6608028857
PECOS Enrollment IDI20220901003120
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 10

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
56 services56 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
36 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
100%53 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%57 patients5/55-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 7

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

Surgery (Vascular Surgery)
825 2ND AVE STE B1
BOWLING GREEN, KY 42101
Thoracic Surgery (Cardiothoracic Vascular Surgery)
825 2ND AVE STE B1
BOWLING GREEN, KY 42101
Nurse Practitioner (Acute Care)
825 2ND AVE STE B1
BOWLING GREEN, KY 42101
Thoracic Surgery (Cardiothoracic Vascular Surgery)
825 2ND AVE STE B1
BOWLING GREEN, KY 42101
Thoracic Surgery (Cardiothoracic Vascular Surgery)
825 2ND AVE STE B1
BOWLING GREEN, KY 42101
Surgery (Vascular Surgery)
825 2ND AVE STE B1
BOWLING GREEN, KY 42101
Thoracic Surgery (Cardiothoracic Vascular Surgery)
825 2ND AVE STE B1
BOWLING GREEN, KY 42101

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 Nelson's NPI number?

The NPI number for Karen Nelson is 1285848119. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Karen Nelson located?

Karen Nelson practices at 825 2nd Ave Ste B1, Bowling Green, KY 42101. The listed phone number is (270) 796-3330.

What is Karen Nelson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Karen Nelson enrolled in Medicare?

Yes. Karen Nelson 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 Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Karen Nelson 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 Nelson affiliated with any hospitals?

According to CMS data, Karen Nelson is affiliated with The Medical Center (bowling Green).

When was this NPI record last updated?

The NPPES record for Karen Nelson was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.