KAREN L PALMER DO
NPI 1326029380
Family Medicine in Portsmouth, NH

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
25 NEW HAMPSHIRE AVE, SUITE 100, PORTSMOUTH, NH 03801(603) 431-2516(603) 431-9945 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2022, Feb 24, 2017, Oct 17, 2016 (3 updates tracked since 2016).

About Karen L Palmer Do NPPES

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

KAREN L PALMER DO (NPI 1326029380) is an individual family medicine provider in Portsmouth, New Hampshire, licensed in New Hampshire (14811) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1326029380
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN L PALMERCredential: DO
Location Address25 NEW HAMPSHIRE AVE, SUITE 100Portsmouth, NH 03801-2838
Mailing Address25 New Hampshire Ave, Suite 100Portsmouth, NH 03801-2838 · (603) 431-2516 · Fax (603) 431-9945
Fax(603) 431-9945
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1997
Enumeration DateNovember 8, 2005
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
NPI 1326029380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NH · 14811
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.
25 NEW HAMPSHIRE AVE, Portsmouth, NH 03801

Other Identifiers 1

Medicaid3087493NH

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 L Palmer 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 ID749247062
PECOS Enrollment IDI20101028001048
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.

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.
274 services155 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
150 services150 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
38 services38 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services27 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services19 patients

Hospital Affiliations CMS Care Compare 5

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
95%1,123 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%587 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims32 services$6.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Hospice Care, Community Based
25 NEW HAMPSHIRE AVE, SUITE 272
PORTSMOUTH, NH 03801
Clinic/Center (Occupational Medicine)
25 NEW HAMPSHIRE AVE, SUITE 105
PORTSMOUTH, NH 03801
Home Health
25 NEW HAMPSHIRE AVE, SUITE 270
PORTSMOUTH, NH 03801
Nurse Practitioner (Family)
25 NEW HAMPSHIRE AVE, SUITE 100
PORTSMOUTH, NH 03801
Preventive Medicine (Public Health & General Preventive Medicine)
25 NEW HAMPSHIRE AVE, SUITE 100
PORTSMOUTH, NH 03801
Home Health
25 NEW HAMPSHIRE AVE, SUITE 270
PORTSMOUTH, NH 03801
Internal Medicine
25 NEW HAMPSHIRE AVE, SUITE 100
PORTSMOUTH, NH 03801
Family Medicine
25 NEW HAMPSHIRE AVE, SUITE 100
PORTSMOUTH, NH 03801

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 Palmer's NPI number?

The NPI number for Karen Palmer is 1326029380. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Karen Palmer located?

Karen Palmer practices at 25 New Hampshire Ave Suite 100, Portsmouth, NH 03801. The listed phone number is (603) 431-2516.

What is Karen Palmer's specialty?

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

Is Karen Palmer enrolled in Medicare?

Yes. Karen Palmer 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 Palmer accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Karen Palmer 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 Palmer affiliated with any hospitals?

According to CMS data, Karen Palmer is affiliated with York Hospital, Elliot Hospital, Wentworth-Douglass Hospital, Exeter Hospital Inc and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Karen Palmer was last updated on February 4, 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.