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KAREN TSAI PA-C
NPI 1326409970
Physician Assistant in Lawrence, KS

Active since March 10, 2016PECOS EnrolledAccepts Medicare Assignment
85.39/100
CMS Quality Rating
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049(785) 843-9125(785) 843-3176 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2020, Sep 30, 2020, Mar 26, 2018 (3 updates tracked since 2018).

About Karen Tsai Pa-c NPPES

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

KAREN TSAI PA-C (NPI 1326409970) is an individual physician assistant in Lawrence, Kansas, licensed in Kansas (1501877) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Lmh, and is a graduate of Yale University School Of Medicine (2015).

NPPES Registry Identity

NPI1326409970
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAREN TSAICredential: PA-C
Location Address6265 ROCK CHALK DR, SUITE 1500Lawrence, KS 66049-5232
Mailing Address6265 Rock Chalk Dr, Suite 1500Lawrence, KS 66049-5232 · (785) 843-9125 · Fax (785) 843-3176
Phone(785) 843-9125
Fax(785) 843-3176
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2015
Enumeration DateMarch 10, 2016
Last NPPES UpdateNovember 23, 20203 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1326409970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KS · 1501877
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6265 ROCK CHALK DR, Lawrence, KS 66049
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 Tsai Pa-c 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 ID7810293941
PECOS Enrollment IDI20160315002306
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 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
140 services28 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.
88 services83 patients
X-ray of wrist, 2 views 73100
An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
46 services33 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.
46 services39 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
43 services42 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
36 services34 patients

Hospital Affiliations CMS Care Compare

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

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66049 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

85.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.44
Promoting Interoperability100
Improvement Activities40
Cost69.88

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier22 claims23 services$44.99 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier15 claims19 services$36.27 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 20

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

EMILY NICOLE HERONEMUS DO
Family Medicine (Sports Medicine)
6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049
Douglas County (785) 843-9125
DR. JENNIFER BIHLMAIER DO
Family Medicine
6265 ROCK CHALK DR, SUITE 1100
LAWRENCE, KS 66049
Douglas County (785) 842-5070
HEATHER N EICHMAN LSCSW
Social Worker (Clinical)
6265 ROCK CHALK DR
LAWRENCE, KS 66049
Douglas County (913) 327-7505
THOMAS R. MARCELLINO SR. MD
Family Medicine
6265 ROCK CHALK DR, SUITE 1100
LAWRENCE, KS 66049
Douglas County (785) 842-5070
DR. JAMES HUSTON M.D.
Orthopaedic Surgery
6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049
Douglas County (785) 843-9125
DR. JOHN DONALD GALLIGAN M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049
Douglas County (785) 843-9125
KATHRYN R GOTTFRIED RANDALL O.T.
Occupational Therapist
6265 ROCK CHALK DR
LAWRENCE, KS 66049
Douglas County (785) 838-7885
DR. JENNIFER ANDREA HAWASLI MD
Surgery (Surgical Oncology)
6265 ROCK CHALK DR, SUITE 2400
LAWRENCE, KS 66049
Douglas County (785) 505-3715

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 Tsai's NPI number?

The NPI number for Karen Tsai is 1326409970. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is Karen Tsai located?

Karen Tsai practices at 6265 Rock Chalk Dr Suite 1500, Lawrence, KS 66049. The listed phone number is (785) 843-9125.

What is Karen Tsai's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karen Tsai enrolled in Medicare?

Yes. Karen Tsai 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 Tsai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Karen Tsai 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 Tsai affiliated with any hospitals?

According to CMS data, Karen Tsai is affiliated with Lmh.

When was this NPI record last updated?

The NPPES record for Karen Tsai was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.