DR. KAREN JOY SUNDBY M.D.
NPI 1912977083
Dermatology - MOHS-Micrographic Surgery in Denver, CO

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4700 HALE PKWY, SUITE 140, DENVER, CO 80220(303) 388-8807(720) 360-0181 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Karen Joy Sundby M.d. NPPES

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

DR. KAREN JOY SUNDBY M.D. (NPI 1912977083) is an individual mohs-micrographic surgery provider in Denver, Colorado, licensed in Colorado (41658) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2000).

NPPES Registry Identity

NPI1912977083
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameDR. KAREN JOY SUNDBYCredential: M.D.
Location Address4700 HALE PKWY, SUITE 140Denver, CO 80220-4050
Mailing Address4700 Hale Pkwy, Suite 140Denver, CO 80220-4050 · (303) 388-8807 · Fax (720) 360-0181
Fax(720) 360-0181
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2000
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMay 6, 2025
NPPES CertifiedMay 6, 2025
NPI 1912977083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in CO · 41658
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
4700 HALE PKWY, Denver, CO 80220

Other Names 1

Former Name (1)Dr. Karen Joy Johnson M.d.

Other Identifiers 1

OtherP00332354CO · Rr Ptan

Accepted 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 Joy Sundby 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 ID6507893823
PECOS Enrollment IDI20060417000173
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 35

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,548 services236 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.
897 services571 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
589 services499 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
449 services332 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.
428 services323 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
374 services374 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80220 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%4,323 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%237 patients
Melanoma: Coordination of Care
100%217 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,731 patients
Patients screened: 100% · 1,731 patients
100%94 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 100% · 917 patients
Patients screened: 100% · 917 patients
100%176 patients
Provide Patients Electronic Access to Their Health Information
94%2,792 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 13

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

Internal Medicine
4700 HALE PKWY, SUITE 300
DENVER, CO 80220
Specialist
4700 HALE PKWY, SUITE 500
DENVER, CO 80220
Internal Medicine
4700 HALE PKWY, SUITE 120
DENVER, CO 80220
Occupational Therapist
4700 HALE PKWY
DENVER, CO 80220
Clinic/Center (Ambulatory Surgical)
4700 HALE PKWY, SUITE 200
DENVER, CO 80220
Physician Assistant
4700 HALE PKWY, SUITE 550
DENVER, CO 80220
Physician Assistant
4700 HALE PKWY, SUITE 550
DENVER, CO 80220
Registered Nurse
4700 HALE PKWY, SUITE #520
DENVER, CO 80220

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 Sundby's NPI number?

The NPI number for Karen Sundby is 1912977083. It was assigned to this individual provider in the NPPES registry on January 23, 2006. The provider is also known as Dr. Karen Joy Johnson M.D..

Where is Karen Sundby located?

Karen Sundby practices at 4700 Hale Pkwy Suite 140, Denver, CO 80220. The listed phone number is (303) 388-8807.

What is Karen Sundby's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Karen Sundby enrolled in Medicare?

Yes. Karen Sundby 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 Sundby accept?

Health plans from UnitedHealthcare list Karen Sundby 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.

When was this NPI record last updated?

The NPPES record for Karen Sundby was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.