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KAREN W PLUNKETT M.D.
NPI 1902919756
Specialist in Grenada, MS

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1300 SUNSET DR STE O, GRENADA, MS 38901(662) 227-0998(662) 227-0984 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen W Plunkett M.d. NPPES

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

KAREN W PLUNKETT M.D. (NPI 1902919756) is an individual specialist in Grenada, Mississippi, licensed in Mississippi (13906) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital North Ms, and is a graduate of University Of Mississippi School Of Medicine (1997).

NPPES Registry Identity

NPI1902919756
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKAREN W PLUNKETTCredential: M.D.
Location Address1300 SUNSET DR STE OGrenada, MS 38901-4086
Mailing Address1300 Sunset Dr Ste OGrenada, MS 38901-4086 · (662) 227-0998 · Fax (662) 227-0984
Phone(662) 227-0998
Fax(662) 227-0984
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1997
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 18, 2007
✔ NPI 1902919756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 13906
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1300 SUNSET DR STE O, Grenada, MS 38901
Open in Google Maps ↗

Other Identifiers 3

Medicaid04570579MS
Medicare UPING50018MS
Medicare ID-Type UnspecifiedC03093MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare.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

Karen W Plunkett 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 ID5597735696
PECOS Enrollment IDI20040728000578
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

2

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

Karen Plunkett, M.D.PC
Same address
Neurology
1300 SUNSET DR STE O
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1982803128 (662) 227-0998
State Of Mississippi-University Of Mississippi Medical Center
0.9 mi
General Acute Care Hospital
960 AVENT DR
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 4 clinicians in this Medicare group
NPI 1720419583 (662) 227-7000

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

Areas of Expertise CMS Part B claims 11

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.
315 services195 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
162 services87 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.
64 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
58 services58 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
57 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services55 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital North Ms

Acute Care Hospitals · Oxford, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250034
Location1100 Belk Blvd /Po Box 946Oxford, MS 38655 · Lafayette County
Emergency services Birthing friendly

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

University Of Mississippi Medical Center- Grenada

Acute Care Hospitals · Grenada, MS
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250168
Location960 Avent DriveGrenada, MS 38901 · Grenada County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

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

KAREN PLUNKETT, M.D.PC
Psychiatry & Neurology (Neurology)
1300 SUNSET DR STE O
GRENADA, MS 38901
Grenada County (662) 227-0998

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 Plunkett's NPI number?

The NPI number for Karen Plunkett is 1902919756. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Karen Plunkett located?

Karen Plunkett practices at 1300 Sunset Dr Ste O, Grenada, MS 38901. The listed phone number is (662) 227-0998.

What is Karen Plunkett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Karen Plunkett enrolled in Medicare?

Yes. Karen Plunkett 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 Plunkett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Plunkett reassigns Medicare benefits to 2 organizations: Karen Plunkett, M.D.PC (Grenada, MS) and State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS). 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 Plunkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Plunkett accept?

Health plans from Cigna Healthcare and Molina Healthcare list Karen Plunkett 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 Plunkett affiliated with any hospitals?

According to CMS data, Karen Plunkett is affiliated with Baptist Memorial Hospital North Ms, St Dominic-Jackson Memorial Hospital and University Of Mississippi Medical Center- Grenada.

When was this NPI record last updated?

The NPPES record for Karen Plunkett was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.