DR. ANDREA C KARP MD
NPI 1790856433
Internal Medicine in Bethesda, MD

Q: What is Andrea Karp's NPI number?

The NPI number for Andrea Karp is 1790856433. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Andrea Karp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Karp was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 13, 2006PECOS EnrolledAccepts Medicare Assignment

79.56/100

CMS Quality Rating

10215 FERNWOOD RD STE 100, BETHESDA, MD 20817(301) 493-4440(301) 493-9778 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Andrea C Karp Md NPPES

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

DR. ANDREA C KARP MD (NPI 1790856433) is an individual internal medicine provider in Bethesda, Maryland, licensed in Maryland (D0058645) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1996).

NPPES Registry Identity

NPI1790856433

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANDREA C KARPCredential: MD

Location Address10215 FERNWOOD RD STE 100Bethesda, MD 20817-1183

Mailing Address19735 Germantown Rd, Suite 100Germantown, MD 20874-1214 · (301) 917-6513 · Fax (301) 917-6506

Phone(301) 493-4440

Fax(301) 493-9778

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1996

Enumeration DateNovember 13, 2006

Last NPPES UpdateMay 3, 2019

✔ NPI 1790856433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D0058645

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

10215 FERNWOOD RD STE 100, Bethesda, MD 20817

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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. Andrea C Karp 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 ID1658359823

PECOS Enrollment IDI20040713000871

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 6

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.

437 services192 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.

156 services156 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.

93 services67 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.

44 services43 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

17 services16 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20817 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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.

79.56/100

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

Individually scored

Quality

100

Improvement Activities

Cost

31.89

Reported Quality Measures

Breast Cancer Screening

95%241 patients5/55-star benchmark: 93%

Cervical Cancer Screening

72%185 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

37%167 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

89%388 patients5/55-star benchmark: 88%

Controlling High Blood Pressure

80%214 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

80%35 patients4/55-star benchmark: 100%

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

Lower rates are better for this measure.

14%35 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

87%1,454 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

86%298 patients4/55-star benchmark: 100%

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

44%581 patients2/55-star benchmark: 98%

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

80%526 patients4/55-star benchmark: 97%

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

46%724 patients4/55-star benchmark: 61%

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

Patients screened: 91% · 580 patients

91%580 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

74%134 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 299 patients

Patients totalRate: 8% · 307 patients

6%307 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 5

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

JOHN LUKE HUDSON

Physician Assistant