Karen Tsai, M.D.
NPI 1265973416 · Endocrinology, Diabetes & Metabolism Physician · Duarte, CA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Tsai, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Duarte, CA (NPI 1265973416).
Provider details
- NPI number
- 1265973416
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A157548 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,911 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| 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 | 452 | $18 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 357 | $103 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 306 | $82 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 164 | $132 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 151 | $37 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 311 | 96 |
| Metformin Hclbrand: Metformin Hcl Er | 177 | 56 |
| Semaglutidebrand: Ozempic | 141 | 32 |
| Metformin Hcl | 119 | 40 |
| Atorvastatin Calcium | 98 | 44 |
| Amlodipine Besylate | 89 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$115 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Frequently asked questions
- What is Karen Tsai's NPI number?
- Karen Tsai's National Provider Identifier (NPI) is 1265973416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Tsai's specialty?
- Karen Tsai is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Tsai located?
- Karen Tsai's practice location on file with NPPES is 1500 Duarte Rd, Duarte, CA 91010-3012.
- What is Karen Tsai's phone number?
- The practice phone number listed in the NPPES registry for Karen Tsai is (626) 256-4673.
- Does Karen Tsai accept Medicare?
- Karen Tsai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Tsai's NPI active?
- Yes — Karen Tsai's NPI (1265973416) is active in the NPPES registry as of the last update on 2024-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.