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DR. KAREN SPURGEON WELCH M.D.
NPI 1366707598
Family Medicine in Austin, TX

Active since July 13, 2012PECOS Enrolled
8656A W HIGHWAY 71 STE C, AUSTIN, TX 78735(512) 978-9820(512) 978-9830 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 22, 2017, Aug 18, 2017 (3 updates tracked since 2017).

About Dr. Karen Spurgeon Welch M.d. NPPES

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

DR. KAREN SPURGEON WELCH M.D. (NPI 1366707598) is an individual family medicine provider in Austin, Texas, licensed in Texas (Q4334) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2012).

NPPES Registry Identity

NPI1366707598
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAREN SPURGEON WELCHCredential: M.D.
Location Address8656A W HIGHWAY 71 STE CAustin, TX 78735-8078
Mailing AddressCommunitycare Oak Hill, 8656-a Hwy 71 West, Suite CAustin, TX 78735 · (512) 978-9820 · Fax (512) 978-9830
Phone(512) 978-9820
Fax(512) 978-9830
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012
Enumeration DateJuly 13, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1366707598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q4334
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.

8656A W HIGHWAY 71 STE C, Austin, TX 78735
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Dr. Karen Spurgeon Welch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183930217
PECOS Enrollment IDI20150903000657
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78735 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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 Welch's NPI number?

The NPI number for Karen Welch is 1366707598. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Karen Welch located?

Karen Welch practices at 8656A W Highway 71 Ste C, Austin, TX 78735. The listed phone number is (512) 978-9820.

What is Karen Welch's specialty?

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

Is Karen Welch enrolled in Medicare?

Yes. Karen Welch is registered in the Medicare PECOS enrollment system.

What insurance does Karen Welch accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Karen Welch 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.

When was this NPI record last updated?

The NPPES record for Karen Welch was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.