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DR. KAREN LEIGH BLACKBURN M.D.
NPI 1396062956
Obstetrics & Gynecology in Bethesda, MD

Active since April 22, 2010PECOS EnrolledAccepts Medicare Assignment
10401 OLD GEORGETOWN RD STE 307, BETHESDA, MD 20814(301) 897-0945 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karen Leigh Blackburn M.d. NPPES

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

DR. KAREN LEIGH BLACKBURN M.D. (NPI 1396062956) is an individual obstetrics & gynecology provider in Bethesda, Maryland, licensed in Maryland (D0078061) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396062956
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KAREN LEIGH BLACKBURNCredential: M.D.
Location Address10401 OLD GEORGETOWN RD STE 307Bethesda, MD 20814-1911
Mailing Address2408 39th St NwWashington, DC 20007-1703 · (804) 437-2852
Phone(301) 897-0945
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 22, 2010
Last NPPES UpdateFebruary 8, 2021
NPPES CertifiedFebruary 8, 2021
✔ NPI 1396062956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MD · D0078061✔ Licensed in DC · MD042139
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.
10401 OLD GEORGETOWN RD STE 307, Bethesda, MD 20814
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Secondary Practice Locations 2

Location 11145 19th St NW, Suite 410Washington, DC 20036-3701 · Phone (202) 331-1740 · Fax (202) 296-9784
Location 24001 Brandywine St NW Ste 300Washington, DC 20016 · Phone (202) 449-9570 · Fax (202) 449-9513

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 Leigh Blackburn 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 ID2365668787
PECOS Enrollment IDI20140721001882, I20201214003170
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

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 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.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
89%620 patients
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…
60%464 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: 83% · 460 patients
82%460 patients4/55-star benchmark: 98%
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 2

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

PRIVIA MEDICAL GROUP, LLC
Family Medicine
10401 OLD GEORGETOWN RD STE 307
BETHESDA, MD 20814
Montgomery County (301) 897-0945
PRIVIA MEDICAL GROUP, LLC
Obstetrics & Gynecology
10401 OLD GEORGETOWN RD STE 307
BETHESDA, MD 20814
Montgomery County (301) 897-0945

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 Blackburn's NPI number?

The NPI number for Karen Blackburn is 1396062956. It was assigned to this individual provider in the NPPES registry on April 22, 2010.

Where is Karen Blackburn located?

Karen Blackburn practices at 10401 Old Georgetown Rd Ste 307, Bethesda, MD 20814. The listed phone number is (301) 897-0945.

What is Karen Blackburn's specialty?

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

Is Karen Blackburn enrolled in Medicare?

Yes. Karen Blackburn 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.

When was this NPI record last updated?

The NPPES record for Karen Blackburn was last updated on February 8, 2021. 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.