KAREN W WALCOTT M.D.
NPI 1942232483
Ophthalmology in N Tonawanda, NY

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
89.83/100
CMS Quality Rating
84 SWEENEY ST, N TONAWANDA, NY 14120(716) 634-8500 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen W Walcott M.d. NPPES

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

KAREN W WALCOTT M.D. (NPI 1942232483) is an individual ophthalmology provider in N Tonawanda, New York, licensed in New York (247834) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2002).

NPPES Registry Identity

NPI1942232483
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKAREN W WALCOTTCredential: M.D.
Location Address84 SWEENEY STN Tonawanda, NY 14120-5822
Mailing Address89 Middlesex RdBuffalo, NY 14216-3617 · (716) 359-3364
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2002
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
NPI 1942232483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NY · 247834 Licensed in MA · 229139
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
84 SWEENEY ST, N Tonawanda, NY 14120

Other Identifiers 1

Medicaid102026377PA

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

Karen W Walcott 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 ID9436154622
PECOS Enrollment IDI20091202000448
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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
81 services78 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
53 services52 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.
52 services43 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services15 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14120 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

89.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.46
Improvement Activities40
Cost68.17

Other Providers at the Same Location NPPES 4

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

Chiropractor
84 SWEENEY ST
NORTH TONAWANDA, NY 14120
Chiropractor
84 SWEENEY ST
NORTH TONAWANDA, NY 14120
Social Worker (Clinical)
84 SWEENEY ST
NORTH TONAWANDA, NY 14120
Chiropractor
84 SWEENEY ST
NORTH TONAWANDA, NY 14120

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 Walcott's NPI number?

The NPI number for Karen Walcott is 1942232483. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Karen Walcott located?

Karen Walcott practices at 84 Sweeney St, N Tonawanda, NY 14120. The listed phone number is (716) 634-8500.

What is Karen Walcott's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Karen Walcott enrolled in Medicare?

Yes. Karen Walcott 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 Walcott accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Karen Walcott 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 Walcott was last updated on March 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.