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DR. KAREN SUE KINSELL M.D.
NPI 1750464855
Preventive Medicine - Public Health & General Preventive Medicine in Fort Gaines, GA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
305 WASHINGTON ST S, FORT GAINES, GA 39851(229) 768-3888(229) 768-3889 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Karen Sue Kinsell M.d. NPPES

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

DR. KAREN SUE KINSELL M.D. (NPI 1750464855) is an individual public health & general preventive medicine provider in Fort Gaines, Georgia, licensed in Georgia (042630) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1993).

NPPES Registry Identity

NPI1750464855
Entity TypeIndividualFemale
Primary Taxonomy2083P0901X
Provider Legal NameDR. KAREN SUE KINSELLCredential: M.D.
Location Address305 WASHINGTON ST SFort Gaines, GA 39851-4315
Mailing AddressPo Box 4207Macon, GA 31208-4207 · (229) 768-3888 · Fax (229) 768-3889
Phone(229) 768-3888
Fax(229) 768-3889
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1993
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1750464855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in GA · 042630
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedInternal MedicineTaxonomy 207R00000X · License 042630 (GA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 042630 (GA)

Other Identifiers 1

Other52508388 005GA · Bcbs Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 Sue Kinsell 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 ID5395737134
PECOS Enrollment IDI20040401000010
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 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.
170 services75 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
85 services56 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.
66 services41 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.
49 services49 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
28 services16 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39851 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
6 suppliers11 claims46 services$4.47 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$57.05 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
4 suppliers20 claims25 services$19.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers14 claims14 services$4.48 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
4 suppliers20 claims25 services$112.29 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$20.06 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 4

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

MS. TEMEKA TAYLOR BUGGS
Nurse Practitioner (Family)
305 WASHINGTON ST S
FORT GAINES, GA 39851
Clay County (229) 768-3888
DR. JOSEPH KIZITO EGBEBIKE PHD.,PT
Physical Therapist
305 WASHINGTON ST S
FORT GAINES, GA 39851
Clay County (904) 382-1747
CLAY COUNTY MEDICAL CENTER, PC
Internal Medicine
305 WASHINGTON ST S
FORT GAINES, GA 39851
Clay County (229) 768-3888
CLAY COUNTY COMMUNITY HEALTH CENTER, INC.
Internal Medicine
305 WASHINGTON ST S
FORT GAINES, GA 39851
Clay County (229) 768-3889

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 Kinsell's NPI number?

The NPI number for Karen Kinsell is 1750464855. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Karen Kinsell located?

Karen Kinsell practices at 305 Washington St S, Fort Gaines, GA 39851. The listed phone number is (229) 768-3888.

What is Karen Kinsell's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Karen Kinsell enrolled in Medicare?

Yes. Karen Kinsell 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 Kinsell accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Karen Kinsell 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 Kinsell affiliated with any hospitals?

According to CMS data, Karen Kinsell is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karen Kinsell was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.