Karen Nead, M.D.
NPI 1174568968 · Pediatrics Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Nead, M.D. is a Pediatrics Physician provider in Rochester, NY (NPI 1174568968).
Provider details
- NPI number
- 1174568968
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 212757 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
97 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 | 35 | $85 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 31 | $63 |
| 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 | 19 | $14 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 12 | $126 |
Typical Medicare-allowed amounts for these services range $14–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 84 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 134 | 44 |
| Gabapentin | 119 | 21 |
| Rosuvastatin Calcium | 86 | 18 |
| Hydroxyzine Hcl | 79 | 12 |
| Omeprazole | 74 | 23 |
| Zolpidem Tartrate | 74 | — |
| Levothyroxine Sodium | 73 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2023-07-05
Frequently asked questions
- What is Karen Nead's NPI number?
- Karen Nead's National Provider Identifier (NPI) is 1174568968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Nead's specialty?
- Karen Nead is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Nead located?
- Karen Nead's practice location on file with NPPES is 913 Culver Rd, Rochester, NY 14609-7141.
- What is Karen Nead's phone number?
- The practice phone number listed in the NPPES registry for Karen Nead is (585) 654-5432.
- Does Karen Nead accept Medicare?
- Karen Nead is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Nead's NPI active?
- Yes — Karen Nead's NPI (1174568968) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.