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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KAREN MARIE FANUCCI MD
NPI 1679545339
Family Medicine - Adult Medicine in Concord, MA

Active since February 06, 2006PECOS Enrolled
131 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742(978) 371-7778(978) 369-9514 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karen Marie Fanucci Md NPPES

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

DR. KAREN MARIE FANUCCI MD (NPI 1679545339) is an individual adult medicine provider in Concord, Massachusetts, licensed in Massachusetts (55349) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of West Virginia University School Of Medicine (1983).

NPPES Registry Identity

NPI1679545339
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. KAREN MARIE FANUCCICredential: MD
Location Address131 OLD ROAD TO 9 ACRE CORConcord, MA 01742-4181
Mailing Address95 Meadow LnBoxborough, MA 01719-2123
Phone(978) 371-7778
Fax(978) 369-9514
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1983
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1679545339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MA · 55349
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
131 OLD ROAD TO 9 ACRE COR, Concord, MA 01742
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Other Identifiers 7

Other2190590MA · Aetna
OtherJ14816MA · Blue Cross Of Ma
Other2950503005MA · Cigna
Other36408MA · Fallon
Other055349MA · Tufts
OtherAM1070MA · Harvard Pilgrim
Other04-04867MA · United Health

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 Marie Fanucci 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 ID244285534
PECOS Enrollment IDI20050321000125
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 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.
217 services145 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
176 services176 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.
128 services97 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.
44 services37 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
34 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01742 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
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims36 services$5.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.64 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$60.48 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$27.66 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 20

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

NANA GIRGIS MCMAHON, MD, PC
Pediatrics (Adolescent Medicine)
131 OLD ROAD TO 9 ACRE COR, SUITE 470
CONCORD, MA 01742
Middlesex County (978) 369-5050
STEVEN HERSON MD
Internal Medicine (Cardiovascular Disease)
131 OLD ROAD TO 9 ACRE COR, JOHN CUMING BUILDING SUITE 650
CONCORD, MA 01742
Middlesex County (978) 371-2272
STEPHANIE SANDWICH CNM
Advanced Practice Midwife
131 OLD ROAD TO 9 ACRE COR, SUITE 830
CONCORD, MA 01742
Middlesex County (978) 371-1396
DAVID S GREEN, M.D., P.C.
Internal Medicine (Pulmonary Disease)
131 OLD ROAD TO 9 ACRE COR, SUITE 660
CONCORD, MA 01742
Middlesex County (978) 369-4238
EMERSON HOSPITAL
General Acute Care Hospital (Rural)
131 OLD ROAD TO 9 ACRE COR, JOHN CUMING BUILDING, SUITE 710
CONCORD, MA 01742
Middlesex County (978) 287-3533
JANE LE PA
Physician Assistant
131 OLD ROAD TO 9 ACRE COR
CONCORD, MA 01742
Middlesex County (978) 287-8950
DR. EMILY STREHLE DO
Obstetrics & Gynecology
131 OLD ROAD TO 9 ACRE COR, SUITE 830
CONCORD, MA 01742
Middlesex County (978) 371-1396
INGRID ANITA BALCOMB MD
Obstetrics & Gynecology
131 OLD ROAD TO 9 ACRE COR, SUITE 830
CONCORD, MA 01742
Middlesex County (978) 371-1396

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 Fanucci's NPI number?

The NPI number for Karen Fanucci is 1679545339. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Karen Fanucci located?

Karen Fanucci practices at 131 Old Road To 9 Acre Cor, Concord, MA 01742. The listed phone number is (978) 371-7778.

What is Karen Fanucci's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Karen Fanucci enrolled in Medicare?

Yes. Karen Fanucci 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 Fanucci accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Fanucci 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 Fanucci affiliated with any hospitals?

According to CMS data, Karen Fanucci is affiliated with Umass Memorial Healthalliance Hospitals, Massachusetts Eye And Ear Infirmary -, Emerson Hospital -, Beth Israel Deaconess Medical Center and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Karen Fanucci was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.