Karen Smith, M.D.
NPI 1154317378 · Rheumatology Physician · Williamsburg, VA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Smith, M.D. is a Rheumatology Physician provider in Williamsburg, VA (NPI 1154317378).
Provider details
- NPI number
- 1154317378
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 0101278515 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
589 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 227 | $95 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 184 | $65 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 86 | $81 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 68 | $132 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 24 | $16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 29 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 382 | 123 |
| Methotrexate Sodiumbrand: Methotrexate | 265 | 81 |
| Hydroxychloroquine Sulfate | 217 | 72 |
| Leflunomide | 55 | 16 |
| Adalimumabbrand: Humira(cf) Pen | 49 | — |
| Upadacitinibbrand: Rinvoq | 43 | — |
| Imipramine Hcl | 38 |
Practice location
Mailing address
Additional practice locations (1)
- 850 Enterprise Pkwy Ste 2000Hampton, VA 23666-6252Phone: (757) 534-6109Fax: (757) 534-6096
Registry dates
- Enumerated
- 2005-09-22
- Last updated
- 2023-10-11
- Certified
- 2023-10-11
Frequently asked questions
- What is Karen Smith's NPI number?
- Karen Smith's National Provider Identifier (NPI) is 1154317378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Smith's specialty?
- Karen Smith is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Smith located?
- Karen Smith's practice location on file with NPPES is 120 Kings Way Ste 2200, Williamsburg, VA 23185-2507.
- What is Karen Smith's phone number?
- The practice phone number listed in the NPPES registry for Karen Smith is (757) 645-3460.
- Does Karen Smith accept Medicare?
- Karen Smith is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Smith's NPI active?
- Yes — Karen Smith's NPI (1154317378) is active in the NPPES registry as of the last update on 2023-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.