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DR. KAREN V PLUNKETT-REID M.D.
NPI 1316006844
Family Medicine in Crofton, MD

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
2200 DEFENSE HWY STE 307, CROFTON, MD 21114(410) 482-5295(410) 482-5295 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 31, 2024, Jun 14, 2024, Mar 21, 2021 and 3 more (6 updates tracked since 2018).

About Dr. Karen V Plunkett-reid M.d. NPPES

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

DR. KAREN V PLUNKETT-REID M.D. (NPI 1316006844) is an individual family medicine provider in Crofton, Maryland, licensed in Maryland (D0059292) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1316006844
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAREN V PLUNKETT-REIDCredential: M.D.
Location Address2200 DEFENSE HWY STE 307Crofton, MD 21114-2930
Mailing Address2200 Defense Hwy Ste 307Crofton, MD 21114-2930 · (410) 482-5295 · Fax (410) 482-5296
Phone(410) 482-5295
Fax(410) 482-5295
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1994
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 31, 20246 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1316006844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D0059292✔ Licensed in MD · 59292
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.

2200 DEFENSE HWY STE 307, Crofton, MD 21114
Open in Google Maps ↗

Secondary Practice Locations 4

Location 113424 Pennsylvania Ave Ste 104Hagerstown, MD 21742 · Phone (240) 313-3100 · Fax (240) 313-3101
Location 21741 Dual HwyHagerstown, MD 21740-6624 · Phone (301) 790-0254
Location 37350 Van Dusen Rd Ste 130Laurel, MD 20707-5267 · Phone (301) 498-8880 · Fax (301) 498-7939
Location 413620 Crayton BlvdHagerstown, MD 21742 · Phone (240) 313-3100 · Fax (240) 313-3101

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

Dr. Karen V Plunkett-reid M.d. 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 ID9335332253
PECOS Enrollment IDI20150921000091
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 5

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.
146 services23 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
91 services35 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.
61 services18 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
59 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21114 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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
Quality76.15
Improvement Activities40
Cost41.31

Other Providers at the Same Location NPPES

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

HARMONY HEALTH & WELLNESS CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
2200 DEFENSE HWY STE 307
CROFTON, MD 21114
Anne Arundel County (301) 494-3139

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 Plunkett-reid's NPI number?

The NPI number for Karen Plunkett-reid is 1316006844. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Karen Plunkett-reid located?

Karen Plunkett-reid practices at 2200 Defense Hwy Ste 307, Crofton, MD 21114. The listed phone number is (410) 482-5295.

What is Karen Plunkett-reid's specialty?

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

Is Karen Plunkett-reid enrolled in Medicare?

Yes. Karen Plunkett-reid 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.

Is Karen Plunkett-reid affiliated with any hospitals?

According to CMS data, Karen Plunkett-reid is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Karen Plunkett-reid was last updated on December 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.