1. Home
  2. Directory
  3. Virginia
  4. Charlottesville
  5. Family Medicine
  6. NPI Profile

KAREN L. MAUGHAN M.D.
NPI 1467597187
Family Medicine in Charlottesville, VA

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1221 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-5348(434) 924-8335 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2020, Jul 9, 2019, Oct 18, 2016 (3 updates tracked since 2016).

About Karen L. Maughan M.d. NPPES

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

KAREN L. MAUGHAN M.D. (NPI 1467597187) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0101049179) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1467597187
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN L. MAUGHANCredential: M.D.
Location Address1221 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-5348
Fax(434) 924-8335
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 20, 2007
Last NPPES UpdateOctober 8, 20203 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1467597187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101049179
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.
1221 LEE ST, Charlottesville, VA 22908
Open in Google Maps ↗

Other Identifiers 1

Medicaid005609143VA

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 L. Maughan 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 ID1456369750
PECOS Enrollment IDI20060328000763
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 3

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 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.
80 services49 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.
49 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

CORINA A RUSU MD
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
MR. REAGAN WILLIAMS
Physician Assistant (Medical)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-1000
ABIGAIL C WILLS MD
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
DR. MERRICK DOUGLAS KOZAK M.D.
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
DR. THOMAS G CROPLEY M.D.
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
GREGORY W. COOPER M.D.
Psychiatry & Neurology (Neurology)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2706
KRISTIN L. PHIPPS AGACNP-BC
Nurse Practitioner (Acute Care)
1221 LEE ST, 2ND FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5219
DEAN C WEIL CRNA
Nurse Anesthetist, Certified Registered
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-4228

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 Maughan's NPI number?

The NPI number for Karen Maughan is 1467597187. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Karen Maughan located?

Karen Maughan practices at 1221 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-5348.

What is Karen Maughan's specialty?

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

Is Karen Maughan enrolled in Medicare?

Yes. Karen Maughan 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.

Is Karen Maughan affiliated with any hospitals?

According to CMS data, Karen Maughan is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Maughan was last updated on October 8, 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.