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MRS. KAREN W SMALL M.D.
NPI 1992061303
Ophthalmology in Rockingham, VA

Active since April 10, 2012PECOS Enrolled
75/100
CMS Quality Rating
1690 A SPRING PORT DRIVE, ROCKINGHAM, VA 22801(404) 332-4855(540) 433-2010 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2023, Jan 9, 2023, Nov 18, 2022 and 3 more (6 updates tracked since 2017).

About Mrs. Karen W Small M.d. NPPES

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

MRS. KAREN W SMALL M.D. (NPI 1992061303) is an individual ophthalmology provider in Rockingham, Virginia, licensed in Virginia (0101264198) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992061303
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMRS. KAREN W SMALLCredential: M.D.
Location Address1690 A SPRING PORT DRIVERockingham, VA 22801
Mailing Address1690 A Spring Port DriveRockingham, VA 22801 · (404) 332-4855 · Fax (540) 433-2010
Phone(404) 332-4855
Fax(540) 433-2010
Sole ProprietorYes
Enumeration DateApril 10, 2012
Last NPPES UpdateJanuary 24, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1992061303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in VA · 0101264198✔ Licensed in MA · 266401
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.
1690 A SPRING PORT DRIVE, Rockingham, VA 22801
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Secondary Practice Locations 2

Location 11501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 813-2528
Location 21440 Main St Ste 201Waltham, MA 02451-1640 · Phone (781) 891-6377 · Fax (781) 647-1430

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Karen W Small 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 Reassignment

Medicare enrollment records show Karen Small reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockingham Eye Physicians & Associates, P.C.
2.2 mi
Ophthalmology
1690A SPRING PORT DR
Rockingham, VA 22801
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Rockingham Eye Physicians & Associates PC
  • 12 clinicians in this Medicare group
NPI 1467534453 (540) 433-2485

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 13

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.
693 services619 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
382 services204 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
311 services234 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.
235 services235 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
190 services45 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
163 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22801 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Small's NPI number?

The NPI number for Karen Small is 1992061303. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Karen Small located?

Karen Small practices at 1690 A Spring Port Drive, Rockingham, VA 22801. The listed phone number is (404) 332-4855.

What is Karen Small's specialty?

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

Is Karen Small enrolled in Medicare?

Yes. Karen Small is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Small's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Small reassigns Medicare benefits to Rockingham Eye Physicians & Associates, P.C. (Rockingham, VA). The 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 Small'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 Small was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.