KAREN EDGINGTON
NPI 1417430927
Physician Assistant in Houston, TX

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
1631 NORTH LOOP W STE 610, HOUSTON, TX 77008(713) 880-8600 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2023, Sep 11, 2018 (2 updates tracked since 2018).

About Karen Edgington NPPES

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

KAREN EDGINGTON (NPI 1417430927) is an individual physician assistant in Houston, Texas and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Memorial City Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417430927
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAREN EDGINGTON
Location Address1631 NORTH LOOP W STE 610Houston, TX 77008-1552
Mailing Address1524 Bevis StHouston, TX 77008-4481
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
Last NPPES UpdateJune 2, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
NPI 1417430927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

1631 NORTH LOOP W STE 610, Houston, TX 77008

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 Edgington 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 ID9234482191
PECOS Enrollment IDI20181024000087
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.

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Acute Care)
1631 NORTH LOOP W STE 610
HOUSTON, TX 77008
Surgery (Vascular Surgery)
1631 NORTH LOOP W STE 610
HOUSTON, TX 77008
Surgery (Vascular Surgery)
1631 NORTH LOOP W STE 610
HOUSTON, TX 77008

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 Edgington's NPI number?

The NPI number for Karen Edgington is 1417430927. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Karen Edgington located?

Karen Edgington practices at 1631 North Loop W Ste 610, Houston, TX 77008. The listed phone number is (713) 880-8600.

What is Karen Edgington's specialty?

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

Is Karen Edgington enrolled in Medicare?

Yes. Karen Edgington 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 Edgington accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Karen Edgington 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 Edgington affiliated with any hospitals?

According to CMS data, Karen Edgington is affiliated with Memorial Hermann Memorial City Hospital.

When was this NPI record last updated?

The NPPES record for Karen Edgington was last updated on June 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.