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DR. KAREN C. MITCHELL M.D.
NPI 1619986114
Dermatology - Dermatopathology in Marlborough, MA

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
43.62/100
CMS Quality Rating
340 MAPLE ST, SUITE 203, MARLBOROUGH, MA 01752(508) 485-7779(508) 485-7769 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Karen C. Mitchell M.d. NPPES

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

DR. KAREN C. MITCHELL M.D. (NPI 1619986114) is an individual dermatopathology provider in Marlborough, Massachusetts, licensed in Massachusetts (208889) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1982).

NPPES Registry Identity

NPI1619986114
Entity TypeIndividualFemale
Primary Taxonomy207ND0900X
Provider Legal NameDR. KAREN C. MITCHELLCredential: M.D.
Location Address340 MAPLE ST, SUITE 203Marlborough, MA 01752-3200
Mailing Address340 Maple St, Suite 203Marlborough, MA 01752-3200 · (508) 485-7779 · Fax (508) 485-7769
Phone(508) 485-7779
Fax(508) 485-7769
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1982
Enumeration DateAugust 5, 2006
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1619986114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in MA · 208889
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
340 MAPLE ST, Marlborough, MA 01752
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Other Identifiers 3

Medicare UPING74961MA
Medicaid110062526AMA
Medicare PINA3300703MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 C. Mitchell 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 ID547264913
PECOS Enrollment IDI20060828000364
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 9

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 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.
276 services194 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
266 services55 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
108 services89 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
99 services50 patients
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.
97 services78 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
50 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01752 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

43.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality15
Improvement Activities40
Cost25.41

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.

KATHLEEN EVA WHITE D.O.
Internal Medicine
340 MAPLE ST, SUITE 203
MARLBOROUGH, MA 01752
Middlesex County (508) 485-7779
MR. CHERYL ANN FALETRA-MOGAVERO MA TM, CAT
Psychologist (Clinical)
340 MAPLE ST
MARLBOROUGH, MA 01752
Middlesex County (508) 872-3333
HEATHER ANTANAVICA
Counselor (Mental Health)
340 MAPLE ST
MARLBOROUGH, MA 01752
Middlesex County (508) 485-9300
JEREMY POTTER LICSW
Counselor (Mental Health)
340 MAPLE ST, 4TH FLOOR
MARLBOROUGH, MA 01752
Middlesex County (508) 485-9300
CARRIE ANN MACLEOD MA
Counselor
340 MAPLE ST
MARLBOROUGH, MA 01752
Middlesex County (508) 485-9300
ASSABET FAMILY PODIATRY, INC
Podiatrist
340 MAPLE ST, SUITE 405
MARLBOROUGH, MA 01752
Middlesex County (508) 481-3659
BARBARA B STARR MSN, RN CS
Nurse Practitioner (Adult Health)
340 MAPLE ST
MARLBOROUGH, MA 01752
Middlesex County (508) 485-7779
MRS. BARBARA MARIE SACHS LMHC,LADC1
Counselor (Addiction (Substance Use Disorder))
340 MAPLE ST, SUITE 400
MARLBOROUGH, MA 01752
Middlesex County (508) 485-9300

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 Mitchell's NPI number?

The NPI number for Karen Mitchell is 1619986114. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Karen Mitchell located?

Karen Mitchell practices at 340 Maple St Suite 203, Marlborough, MA 01752. The listed phone number is (508) 485-7779.

What is Karen Mitchell's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Karen Mitchell enrolled in Medicare?

Yes. Karen Mitchell 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 Mitchell accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Mitchell 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.

When was this NPI record last updated?

The NPPES record for Karen Mitchell was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.