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KAREN B HOOD PA-C
NPI 1659322824
Physician Assistant in Raleigh, NC

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
3100 DURALEIGH RD, SUITE 100, RALEIGH, NC 27612(919) 788-8797(919) 313-1276 Get Directions Write a Review

NPPES record last updated: June 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen B Hood Pa-c NPPES

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

KAREN B HOOD PA-C (NPI 1659322824) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-06345) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1659322824
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAREN B HOODCredential: PA-C
Location Address3100 DURALEIGH RD, SUITE 100Raleigh, NC 27612-8106
Mailing Address120 William Penn PlzDurham, NC 27704-2150 · (919) 220-5255 · Fax (919) 220-6971
Phone(919) 788-8797
Fax(919) 313-1276
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 13, 2006
Last NPPES UpdateJune 10, 2016
✔ NPI 1659322824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-06345✔ Licensed in SC · 0927
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3100 DURALEIGH RD, Raleigh, NC 27612
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Other Identifiers 4

Medicaid0450PASC
Medicare PINAA0263SC
Medicare UPINQ04865SC
OtherP00329296SC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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 B Hood Pa-c 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 ID1759279169
PECOS Enrollment IDI20161011002518
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 11

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
134 services53 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.
78 services61 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
63 services53 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.
61 services57 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.
29 services29 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
26 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Reported Quality Measures

e-Prescribing
99%563 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
82%976 patients4/55-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 20

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

MR. DOUGLAS JOSEPH HOLCZER PT
Physical Therapist
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Wake County (919) 788-8797
SOUTHEASTERN IMAGING CONSULTANTS, LLC
Radiology (Body Imaging)
3100 DURALEIGH RD, SUITE 101
RALEIGH, NC 27612
Wake County (919) 785-9091
GRETCHEN RUTH CORRELL OT
Occupational Therapist (Hand)
3100 DURALEIGH RD, SUITE
RALEIGH, NC 27612
Wake County (919) 788-8797
MEREDITH BOYETTE
Audiologist
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 876-4327
NOVANT MEDICAL GROUP, INC.
Internal Medicine (Cardiovascular Disease)
3100 DURALEIGH RD
RALEIGH, NC 27612
Wake County (919) 232-0050
THOMAS JOHN SENA MD
Pediatrics
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 781-7490
RICHARD RYAN GESSNER MD
Pediatrics
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 781-7490
MRS. MAUREEN ANN FONTANES RN
Registered Nurse
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Wake County (919) 571-6465

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 Hood's NPI number?

The NPI number for Karen Hood is 1659322824. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Karen Hood located?

Karen Hood practices at 3100 Duraleigh Rd Suite 100, Raleigh, NC 27612. The listed phone number is (919) 788-8797.

What is Karen Hood's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karen Hood enrolled in Medicare?

Yes. Karen Hood 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 Hood accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Karen Hood 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 Hood was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.