KAREN M DONALDSON MD
NPI 1578569786
Family Medicine in Baltimore, MD

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
3120 ERDMAN AVE, BALTIMORE, MD 21213(410) 558-4800(410) 675-8947 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen M Donaldson Md NPPES

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

KAREN M DONALDSON MD (NPI 1578569786) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (D61677) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1578569786
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN M DONALDSONCredential: MD
Location Address3120 ERDMAN AVEBaltimore, MD 21213-1720
Mailing Address3120 Erdman AveBaltimore, MD 21213-1720 · (410) 558-4800 · Fax (410) 675-8947
Fax(410) 675-8947
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 24, 2012
NPI 1578569786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MD · D61677
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.
3120 ERDMAN AVE, Baltimore, MD 21213

Other Identifiers 2

Medicare UPINI09343
Medicare ID-Type UnspecifiedS732-J042

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 M Donaldson 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 ID9032189022
PECOS Enrollment IDI20040728000172
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.

Measurement of range of motion in arm, leg or each spine section 95851
The Range of Motion (ROM) measurement is a technique to assess the movement capacity of a joint or body part. It involves moving your arm, leg, or spine section in different directions to gauge flexibility and identify any limitations or discomfort. This helps in planning your treatment and monitoring progress.
60 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21213 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
1 supplier18 claims18 services$871.71 avg. paid by Medicare
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851
DME-Orthotic Devices · category DF011N
1 supplier32 claims32 services$356.38 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
1 supplier34 claims34 services$94.78 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 19

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

Pharmacy (Community/Retail Pharmacy)
3120 ERDMAN AVE
BALTIMORE, MD 21213
Pharmacist
3120 ERDMAN AVE
BALTIMORE, MD 21213
Nurse Practitioner (Family)
3120 ERDMAN AVE
BALTIMORE, MD 21213
Physician Assistant
3120 ERDMAN AVE
BALTIMORE, MD 21213
Family Medicine
3120 ERDMAN AVE
BALTIMORE, MD 21213
Nurse Practitioner (Family)
3120 ERDMAN AVE
BALTIMORE, MD 21213
Family Medicine
3120 ERDMAN AVE
BALTIMORE, MD 21213
Social Worker (Clinical)
3120 ERDMAN AVE
BALTIMORE, MD 21213

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 Donaldson's NPI number?

The NPI number for Karen Donaldson is 1578569786. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Karen Donaldson located?

Karen Donaldson practices at 3120 Erdman Ave, Baltimore, MD 21213. The listed phone number is (410) 558-4800.

What is Karen Donaldson's specialty?

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

Is Karen Donaldson enrolled in Medicare?

Yes. Karen Donaldson 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 Donaldson was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.