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DR. KAREN MELISSA DUCKWORTH M.D.
NPI 1417969908
Family Medicine in Philadelphia, PA

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
131 E CHELTEN AVE, HEALTH CARE CENTER #9, PHILADELPHIA, PA 19144(215) 685-5701(215) 685-5748 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karen Melissa Duckworth M.d. NPPES

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

DR. KAREN MELISSA DUCKWORTH M.D. (NPI 1417969908) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD072825L) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Medical College Of Pennsylvania (1996).

NPPES Registry Identity

NPI1417969908
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAREN MELISSA DUCKWORTHCredential: M.D.
Location Address131 E CHELTEN AVE, HEALTH CARE CENTER #9Philadelphia, PA 19144-2153
Mailing Address500 S Broad St, Suite 360Philadelphia, PA 19146-1613 · (215) 685-6769 · Fax (215) 685-6732
Phone(215) 685-5701
Fax(215) 685-5748
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1996
Enumeration DateAugust 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417969908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD072825L
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.
131 E CHELTEN AVE, Philadelphia, PA 19144
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Other Identifiers 3

Medicare UPINH15964PA
Medicare ID-Type UnspecifiedDU1402282PA
Medicaid0019082630001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Karen Melissa Duckworth 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 ID7810174414
PECOS Enrollment IDI20110608000337
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.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19144 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
8 suppliers41 claims55 services$4.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims18 services$0.82 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$61.29 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$29.39 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 16

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

DR. RAMONA CHUBE M.D.
Family Medicine
131 E CHELTEN AVE, HEALTH CARE CENTER #9
PHILADELPHIA, PA 19144
Philadelphia County (215) 685-5701
KAREN MAPP
Pharmacy Technician
131 E CHELTEN AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 685-5714
DR. TANYA R BROWNE DDS
Dentist
131 E CHELTEN AVE, HEALTH CENTER #9
PHILADELPHIA, PA 19144
Philadelphia County (215) 685-5745
DR. LOUISE MARIE LISI M.D.
Pediatrics
131 E CHELTEN AVE, HEALTH CARE CENTER #9
PHILADELPHIA, PA 19144
Philadelphia County (215) 685-5701
DR. CYRILENE ANNA EASTMOND M.D.
Internal Medicine
131 E CHELTEN AVE, HEALTH CARE CENTER #9
PHILADELPHIA, PA 19144
Philadelphia County (215) 685-5701
BLESSY METHIKALAM MD
Pediatrics
131 E CHELTEN AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 685-5723
CITY OF PHILADELPHIA
Clinic/Center (Federally Qualified Health Center (FQHC))
131 E CHELTEN AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 685-5745
DR. NASSRIN JADALI M.D.
Obstetrics & Gynecology (Gynecology)
131 E CHELTEN AVE
PHILADELPHIA, PA 19144
Philadelphia County (215) 685-5733

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 Duckworth's NPI number?

The NPI number for Karen Duckworth is 1417969908. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Karen Duckworth located?

Karen Duckworth practices at 131 E Chelten Ave Health Care Center #9, Philadelphia, PA 19144. The listed phone number is (215) 685-5701.

What is Karen Duckworth's specialty?

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

Is Karen Duckworth enrolled in Medicare?

Yes. Karen Duckworth 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 Duckworth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karen Duckworth 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 Duckworth affiliated with any hospitals?

According to CMS data, Karen Duckworth is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Duckworth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.