KAREN MARIE SMITH MD
NPI 1578655643
Internal Medicine - Interventional Cardiology in High Point, NC

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
306 WESTWOOD AVE STE 401, HIGH POINT, NC 27262(336) 716-2255 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2021, Oct 25, 2020, Mar 28, 2018 and 2 more (5 updates tracked since 2016).

About Karen Marie Smith Md NPPES

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

KAREN MARIE SMITH MD (NPI 1578655643) is an individual interventional cardiology provider in High Point, North Carolina, licensed in North Carolina (36271) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1578655643
Entity TypeIndividualFemale
Primary Taxonomy207RI0011X
Provider Legal NameKAREN MARIE SMITHCredential: MD
Location Address306 WESTWOOD AVE STE 401High Point, NC 27262-4342
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 713-6674 · Fax (336) 716-9188
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 28, 2006
Last NPPES UpdateAugust 31, 20215 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
NPI 1578655643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NC · 36271
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 36271 (NC), ME76596 (FL)
306 WESTWOOD AVE STE 401, High Point, NC 27262

Other Names 1

Professional Name (2)Karen Marie Smith

Secondary Practice Location 1

Location 1186 Kimel Park DrWinston Salem, NC 27103-6946 · Phone (336) 277-2000 · Fax (336) 277-2050

Other Identifiers 1

Medicaid254750300FL

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 Marie Smith 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 ID244364230
PECOS Enrollment IDI20170105001510
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
48 services41 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
34 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services25 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
24 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Randolph Hospital

Acute Care Hospitals · Asheboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340123
Location364 White Oak StreetAsheboro, NC 27204 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%92 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%129 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
52%149 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
64%58 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
1%77 patients1/55-star benchmark: 100%
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 11

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

Internal Medicine (Cardiovascular Disease)
306 WESTWOOD AVE STE 401
HIGH POINT, NC 27262
Physician Assistant (Surgical)
306 WESTWOOD AVE STE 401
HIGH POINT, NC 27262
Nurse Practitioner
306 WESTWOOD AVE STE 401
HIGH POINT, NC 27262
Physician Assistant
306 WESTWOOD AVE STE 401
HIGH POINT, NC 27262
Nurse Practitioner
306 WESTWOOD AVE STE 401
HIGH POINT, NC 27262
Internal Medicine (Interventional Cardiology)
306 WESTWOOD AVE STE 401
HIGH POINT, NC 27262
Nurse Practitioner
306 WESTWOOD AVE STE 401
HIGH POINT, NC 27262
Internal Medicine (Cardiovascular Disease)
306 WESTWOOD AVE STE 401
HIGH POINT, NC 27262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578655643, enumerated as an "individual" on September 28, 2006.

The provider is located at 306 WESTWOOD AVE STE 401 HIGH POINT, NC 27262 and the phone number is (336) 716-2255.

Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.

Karen Smith is affiliated with: HIGH POINT REGIONAL HEALTH SYSTEM, NORTH CAROLINA BAPTIST HOSPITAL and RANDOLPH HOSPITAL.