DR. KAREN SMITH DO
NPI 1952563918
Obstetrics & Gynecology in West Long Branch, NJ

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
1019 BROADWAY, WEST LONG BRANCH, NJ 07764(732) 229-6797(732) 229-3547 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Karen Smith Do NPPES

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

DR. KAREN SMITH DO (NPI 1952563918) is an individual obstetrics & gynecology provider in West Long Branch, New Jersey, licensed in New Jersey (25MB09004000) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains a secondary practice location in Long Branch.

NPPES Registry Identity

NPI1952563918
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KAREN SMITHCredential: DO
Location Address1019 BROADWAYWest Long Branch, NJ 07764-1326
Mailing Address1019 BroadwayWest Long Branch, NJ 07764-1326 · (732) 229-6797 · Fax (732) 229-3547
Fax(732) 229-3547
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateSeptember 20, 2019
NPI 1952563918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NJ · 25MB09004000
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1019 BROADWAY, West Long Branch, NJ 07764

Secondary Practice Location 1

Location 1300 2nd AveLong Branch, NJ 07740-6303 · Phone (732) 923-6795

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 Smith Do 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 ID8022274828
PECOS Enrollment IDI20120724000022
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
74 services74 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
65 services65 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
55 services27 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.
23 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07764 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Reported Quality Measures

Breast Cancer Screening
89%390 patients4/55-star benchmark: 93%
Cervical Cancer Screening
97%1,293 patients4/55-star benchmark: 98%
Controlling High Blood Pressure
90%30 patients4/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%1,195 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
47%1,783 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 2% · 1,503 patients
1%1,503 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 10

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

Nurse Practitioner (Women's Health)
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Advanced Practice Midwife
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Nurse Practitioner (Women's Health)
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Specialist
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Specialist
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Midwife
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Specialist
1019 BROADWAY
WEST LONG BRANCH, NJ 07764
Obstetrics & Gynecology
1019 BROADWAY
W LONG BRANCH, NJ 07764

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's NPI number?

The NPI number for Karen Smith is 1952563918. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Karen Smith located?

Karen Smith practices at 1019 Broadway, West Long Branch, NJ 07764. The listed phone number is (732) 229-6797.

What is Karen Smith's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karen Smith enrolled in Medicare?

Yes. Karen Smith 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 Smith affiliated with any hospitals?

According to CMS data, Karen Smith is affiliated with Riverview Medical Center, Community Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Smith was last updated on September 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.