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DR. KAREN E SMITH-COLEMAN M.D.
NPI 1932116175
Internal Medicine - Endocrinology, Diabetes & Metabolism in Lancaster, PA

Active since August 01, 2006PECOS Enrolled
2104 HARRISBURG PIKE, LANCASTER, PA 17601(717) 544-5923(302) 629-9837 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 24, 2020, Dec 16, 2020 (2 updates tracked since 2020).

About Dr. Karen E Smith-coleman M.d. NPPES

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

DR. KAREN E SMITH-COLEMAN M.D. (NPI 1932116175) is an individual endocrinology, diabetes & metabolism provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD436274) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932116175
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KAREN E SMITH-COLEMANCredential: M.D.
Location Address2104 HARRISBURG PIKELancaster, PA 17601-2644
Mailing Address2104 Harrisburg PikeLancaster, PA 17601-2644 · (717) 544-5923 · Fax (302) 629-9837
Phone(717) 544-5923
Fax(302) 629-9837
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 24, 20202 updates tracked since enumeration
NPPES CertifiedDecember 24, 2020
✔ NPI 1932116175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in PA · MD436274✔ Licensed in DE · C10011419✔ Licensed in GA · 050774
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2104 HARRISBURG PIKE, Lancaster, PA 17601
Open in Google Maps ↗

Other Identifiers 2

Medicaid1932116175DE
Medicaid102324790PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen E Smith-coleman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Smith-coleman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lancaster General Medical Group
Same address
Surgery
2104 HARRISBURG PIKE, SUITE 200
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1700145406 (717) 544-3626
Temple Physicians Inc.
58 mi
Family Medicine
509 GERMANTOWN PIKE, SUITE 1 A
Lafayette Hill, PA 19444
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 clinicians in this Medicare group
NPI 1932574373 (610) 828-7570

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

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.
97%2,855 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
70%145 patients4/55-star benchmark: 88%
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%411 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.
80%722 patients4/55-star benchmark: 97%
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…
96%722 patients4/55-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…
40%722 patients2/55-star benchmark: 89%
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.
39%722 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
7 suppliers12 claims46 services$6.68 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers109 claims109 services$183.81 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 16

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

STEVEN L PARKER MD
Surgery
2104 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3626
ZACHARY A ICHTER D.O.
Surgery
2104 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3626
FREDERICK C BEYER MD
Surgery
2104 HARRISBURG PIKE, STE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3626
SADIYA CHESHTY MD
Internal Medicine (Gastroenterology)
2104 HARRISBURG PIKE, STE. 300
LANCASTER, PA 17601
Lancaster County (717) 544-3400
REBECCA A. ANASTASIO
Physician Assistant
2104 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3626
STACEY LOUISE MAZZACCO MD
Surgery (Vascular Surgery)
2104 HARRISBURG PIKE, STE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3626
DR. MEGHAN DERMODY M.D.
Surgery (Vascular Surgery)
2104 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3626
EVAN JOHN KNAPPENBERGER PA-C
Physician Assistant (Medical)
2104 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3626

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 Smith-coleman's NPI number?

The NPI number for Karen Smith-coleman is 1932116175. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Karen Smith-coleman located?

Karen Smith-coleman practices at 2104 Harrisburg Pike, Lancaster, PA 17601. The listed phone number is (717) 544-5923.

What is Karen Smith-coleman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Karen Smith-coleman enrolled in Medicare?

Yes. Karen Smith-coleman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Smith-coleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Smith-coleman reassigns Medicare benefits to 2 organizations: Lancaster General Medical Group (Lancaster, PA) and Temple Physicians Inc. (Lafayette Hill, PA). 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 Smith-coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karen Smith-coleman was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.