DR. KAREN ANN LEEDOM M.D.
NPI 1720236458
Obstetrics & Gynecology in Lawrenceville, NJ

Q: What is Karen Leedom's NPI number?

The NPI number for Karen Leedom is 1720236458. It was assigned to this individual provider in the NPPES registry on September 6, 2008.

Q: What is Karen Leedom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Leedom was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 06, 2008PECOS EnrolledAccepts Medicare Assignment

95.77/100

CMS Quality Rating

123 FRANKLIN CORNER RD, SUITE 214, LAWRENCEVILLE, NJ 08648(609) 537-7200(609) 896-3986 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2021, Feb 15, 2021 (2 updates tracked since 2021).

On this page

About Dr. Karen Ann Leedom M.d. NPPES

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

DR. KAREN ANN LEEDOM M.D. (NPI 1720236458) is an individual obstetrics & gynecology provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA09036300) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720236458

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. KAREN ANN LEEDOMCredential: M.D.

Location Address123 FRANKLIN CORNER RD, SUITE 214Lawrenceville, NJ 08648-2526

Mailing Address123 Franklin Corner Rd Ste 214Lawrenceville, NJ 08648-2526 · (609) 537-7200

Phone(609) 537-7200

Fax(609) 896-3986

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 6, 2008

Last NPPES UpdateApril 30, 20212 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1720236458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NJ · 25MA09036300✔ Licensed in PA · MD444552

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

123 FRANKLIN CORNER RD, Lawrenceville, NJ 08648

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen Ann Leedom 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 ID6901054048

PECOS Enrollment IDI20120917000044

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.

Medicare Billing Reassignments

Medicare enrollment records show Karen Leedom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Health Medical Group

3.6 mi

Internal Medicine

750 BRUNSWICK AVE
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
581 clinicians in this Medicare group

NPI 1437516887 (609) 815-7829

Capital Health Multispecialty Group

3.6 mi

Surgery

750 BRUNSWICK AVE
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey enrollment
600 clinicians in this Medicare group

NPI 1083072342 (609) 394-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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.

95.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.75

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

92%266 patients4/55-star benchmark: 93%

Cervical Cancer Screening

98%639 patients5/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

51%49 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

66%354 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

70%74 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

48%21 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

88%996 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

84%58 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

48%758 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

77%806 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

39%739 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 93% · 730 patients

Patients screened: 97% · 730 patients

33%48 patients2/55-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.

MICHAEL ROY DASH M.D.

Internal Medicine

123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648

Mercer County (609) 895-6800

MS. KATIE SOTO LAC,LCADC

Counselor (Mental Health)

123 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648

Mercer County (609) 256-4200

STEVEN SUSSMAN M.D.

Obstetrics & Gynecology

123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-1400

MR. RICHARD TONY KAUFFMAN B.S., M.P.T

Physical Therapist

123 FRANKLIN CORNER RD, SUITE 103
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-9054

KATHLEEN GATER CNM

Advanced Practice Midwife

123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-1400

STEVEN PAUL ELLIS M.D.

Ophthalmology

123 FRANKLIN CORNER RD, STE 207
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-9448

INTERNAL MEDICINE ASSOCIATES OF LAWRENCE P C

Internal Medicine

123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648

Mercer County (609) 895-6800

TIKIKIL FIRDU M.D., M.P.H

Obstetrics & Gynecology

123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648

Mercer County (609) 896-1400

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 Leedom's NPI number?

The NPI number for Karen Leedom is 1720236458. It was assigned to this individual provider in the NPPES registry on September 6, 2008.

Where is Karen Leedom located?

Karen Leedom practices at 123 Franklin Corner Rd Suite 214, Lawrenceville, NJ 08648. The listed phone number is (609) 537-7200.

What is Karen Leedom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karen Leedom enrolled in Medicare?

Yes. Karen Leedom 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.

Which organizations bill Medicare for Karen Leedom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Leedom reassigns Medicare benefits to 2 organizations: Capital Health Medical Group (Trenton, NJ) and Capital Health Multispecialty Group (Trenton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Leedom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Leedom accept?

Health plans from Oscar Health list Karen Leedom 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 Leedom affiliated with any hospitals?

According to CMS data, Karen Leedom is affiliated with Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Karen Leedom was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.