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DR. KAREN L SMITH M.D.
NPI 1316943798
Obstetrics & Gynecology in Dartmouth, MA

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747(508) 996-3991 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Feb 23, 2018 (2 updates tracked since 2018).

About Dr. Karen L Smith M.d. NPPES

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

DR. KAREN L SMITH M.D. (NPI 1316943798) is an individual obstetrics & gynecology provider in Dartmouth, Massachusetts, licensed in Massachusetts (205305) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains a secondary practice location in New Bedford.

NPPES Registry Identity

NPI1316943798
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KAREN L SMITHCredential: M.D.
Location Address531 FAUNCE CORNER RDDartmouth, MA 02747-1242
Mailing Address531 Faunce Corner RdDartmouth, MA 02747-1242 · (508) 996-3991
Phone(508) 996-3991
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1996
Enumeration DateJune 22, 2005
Last NPPES UpdateApril 25, 20232 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
✔ NPI 1316943798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 205305
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
531 FAUNCE CORNER RD, Dartmouth, MA 02747
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Secondary Practice Location 1

Location 160 Brigham StNew Bedford, MA 02740-2208 · Phone (508) 999-6245 · Fax (508) 999-9823

Other Identifiers 1

Medicaid3206254MA

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

Dr. Karen L Smith 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 ID5890874358
PECOS Enrollment IDI20080508000529
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group, Inc
0.2 mi
Internal Medicine
535 FAUNCE CORNER RD
Dartmouth, MA 02747
  • Reassigned Medicare billing, Massachusetts enrollment
  • 241 clinicians in this Medicare group
NPI 1821349317 (617) 419-4700
Southcoast Physicians Group, Inc.
5.8 mi
Family Medicine
200 MILL ROAD, SUITE 180
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
NPI 1336137629 (508) 973-2000

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.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
80%250 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%272 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,000 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,613 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
44%45 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
28%105 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%435 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
76%1,794 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%45 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
61%1,261 patients3/55-star benchmark: 97%
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
Patients screenedForUse: 100% · 949 patients
Patients tobacco: 16% · 51 patients
91%948 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%1,794 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
47%1,794 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
44%1,794 patients
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 20

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

MELISSA K BOTELHO P.N.P.
Nurse Practitioner (Pediatrics)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
AUDREY LORRAINE HARRELL
Psychiatry & Neurology (Psychiatry)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
MELISSA CLARKE FNP
Nurse Practitioner
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
ROSEMARIE N ZOLNIERZ PAC
Physician Assistant (Surgical)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
SUSAN E VOGLER D.O.
Obstetrics & Gynecology
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
KAREN LYNNE REZENDES N.P.
Nurse Practitioner (Adult Health)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
KARMINA BAUTISTA MD
Internal Medicine
531 FAUNCE CORNER RD
N DARTMOUTH, MA 02747
Bristol County (508) 996-3991
DEBORAH D FRAINE OTR
Occupational Therapist (Hand)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991

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 Smith's NPI number?

The NPI number for Karen Smith is 1316943798. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Karen Smith located?

Karen Smith practices at 531 Faunce Corner Rd, Dartmouth, MA 02747. The listed phone number is (508) 996-3991.

What is Karen Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karen Smith enrolled in Medicare?

Yes. Karen Smith 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 Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Smith reassigns Medicare benefits to 2 organizations: Steward Medical Group, Inc (Dartmouth, MA) and Southcoast Physicians Group, Inc. (Fairhaven, MA). 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 Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Karen Smith affiliated with any hospitals?

According to CMS data, Karen Smith is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Karen Smith was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.