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KAREN SCHELL MD
NPI 1548441884
Obstetrics & Gynecology in Lexington, KY

Active since November 15, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1700 NICHOLASVILLE RD, SUITE 701, LEXINGTON, KY 40503(859) 278-0396 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 8, 2020, Feb 13, 2017 (2 updates tracked since 2017).

About Karen Schell Md NPPES

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

KAREN SCHELL MD (NPI 1548441884) is an individual obstetrics & gynecology provider in Lexington, Kentucky, licensed in Kentucky (R1202) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (2005).

NPPES Registry Identity

NPI1548441884
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKAREN SCHELLCredential: MD
Location Address1700 NICHOLASVILLE RD, SUITE 701Lexington, KY 40503-1431
Mailing Address1700 Nicholasville Rd, Suite 701Lexington, KY 40503-1431
Phone(859) 278-0396
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2005
Enumeration DateNovember 15, 2007
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1548441884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · R1202
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.
1700 NICHOLASVILLE RD, Lexington, KY 40503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 and accepts Medicare assignment

Karen Schell Md 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 ID1355495185
PECOS Enrollment IDI20090813000450
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
24 services24 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.
14 services11 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services12 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
43%154 patients2/55-star benchmark: 92%
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)…
94%1,197 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
49%175 patients3/55-star benchmark: 85%
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 20

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

TRACEY OWENSBY CARBAJAL M.D.
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
KATHLEEN STUMP
Nurse Practitioner (Family)
1700 NICHOLASVILLE RD, #100
LEXINGTON, KY 40503
Fayette County (859) 523-5310
DR. JULIE ANN ASHMUN M.D.
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
JESSICA RYAN LAW APRN
Nurse Practitioner (Family)
1700 NICHOLASVILLE RD, SUITE 1100
LEXINGTON, KY 40503
Fayette County (859) 276-0414
BETHANEY BLANKENSHIP APRN
Nurse Practitioner (Family)
1700 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-2100
DR. RANDAL WILSON OWEN M.D.
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, SUITE 701
LEXINGTON, KY 40503
Fayette County (859) 278-0396
MS. CASSILLY BALLARD BESTEN APRN
Nurse Practitioner (Family)
1700 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6460
DR. COREY BLAKE FORESTER M.D.
Obstetrics & Gynecology
1700 NICHOLASVILLE RD, STE 701
LEXINGTON, KY 40503
Fayette County (606) 207-2931

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 Schell's NPI number?

The NPI number for Karen Schell is 1548441884. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Karen Schell located?

Karen Schell practices at 1700 Nicholasville Rd Suite 701, Lexington, KY 40503. The listed phone number is (859) 278-0396.

What is Karen Schell's specialty?

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

Is Karen Schell enrolled in Medicare?

Yes. Karen Schell 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 Schell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Karen Schell 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 Schell affiliated with any hospitals?

According to CMS data, Karen Schell is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Karen Schell was last updated on December 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.