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KAREN LEE DUNHAM PA
NPI 1881946788
Physician Assistant in Johnson City, NY

Active since October 03, 2012PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
30 HARRISON ST, SUITE 455, JOHNSON CITY, NY 13790(607) 763-8100(607) 729-8866 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Lee Dunham Pa NPPES

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

KAREN LEE DUNHAM PA (NPI 1881946788) is an individual physician assistant in Johnson City, New York, licensed in New York (016002) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1881946788
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAREN LEE DUNHAMCredential: PA
Location Address30 HARRISON ST, SUITE 455Johnson City, NY 13790-2161
Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 729-8156 · Fax (607) 729-3982
Phone(607) 763-8100
Fax(607) 729-8866
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 3, 2012
Last NPPES UpdateNovember 24, 2014
✔ NPI 1881946788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 016002
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.
30 HARRISON ST, Johnson City, NY 13790
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Other Names 1

Former Name (1)Karen Lee Folts Pa

Other Identifiers 2

Medicare PINJ400122676NY
Medicaid03508610NY

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 Lee Dunham Pa 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 ID8527210384
PECOS Enrollment IDI20121201000073
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 3

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.
35 services34 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.
14 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,066 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%286 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,046 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
44%842 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
34%522 patients2/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%842 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
56%842 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 388 patients
1%388 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%842 patients
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.

DR. MICHAIL VITELLAS MD
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, SUITE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
JAMES J VINCENS MD
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, STE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
JEROME H ROSENSTEIN MD PLLC
Specialist
30 HARRISON ST, SUITE 320
JOHNSON CITY, NY 13790
Broome County (607) 763-8205
J RICHARD CUNNINGHAM MD
Surgery
30 HARRISON ST, SUITE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
SERAZUL A KHAN MD
Internal Medicine (Hematology & Oncology)
30 HARRISON ST, SUITE 100
JOHNSON CITY, NY 13790
Broome County (607) 763-6850
MARK BRENNAN DO
Surgery (Vascular Surgery)
30 HARRISON ST, STE 455
JOHNSON CITY, NY 13790
Broome County (607) 763-8100
CARDIOLOGY ASSOCIATES PC
Internal Medicine (Cardiovascular Disease)
30 HARRISON ST, STE 250
JOHNSON CITY, NY 13790
Broome County (607) 770-8600
WENDY RENEE ROBINSON NP
Nurse Practitioner
30 HARRISON ST, SUITE 320
JOHNSON CITY, NY 13790
Broome County (607) 763-8205

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 Dunham's NPI number?

The NPI number for Karen Dunham is 1881946788. It was assigned to this individual provider in the NPPES registry on October 3, 2012. The provider is also known as Karen Lee Folts PA.

Where is Karen Dunham located?

Karen Dunham practices at 30 Harrison St Suite 455, Johnson City, NY 13790. The listed phone number is (607) 763-8100.

What is Karen Dunham's specialty?

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

Is Karen Dunham enrolled in Medicare?

Yes. Karen Dunham 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.

Is Karen Dunham affiliated with any hospitals?

According to CMS data, Karen Dunham is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Karen Dunham was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.