Karen Plunkett-Reid, M.D.
NPI 1316006844 · Family Medicine Physician · Crofton, MD
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Plunkett-Reid, M.D. is a Family Medicine Physician provider in Crofton, MD (NPI 1316006844).
Provider details
- NPI number
- 1316006844
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 59292 (MD)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
369 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) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 146 | $106 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 91 | $130 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 61 | $79 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 59 | $78 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 12 | $126 |
Typical Medicare-allowed amounts for these services range $78–$130 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 94 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 271 | 72 |
| Levothyroxine Sodium | 235 | 48 |
| Amlodipine Besylate | 203 | 56 |
| Gabapentin | 177 | 30 |
| Omeprazole | 137 | 21 |
| Losartan Potassium | 121 | 41 |
| Metoprolol Succinate |
Practice location
Mailing address
Additional practice locations (4)
- 13620 Crayton BlvdHagerstown, MD 21742Phone: (240) 313-3100Fax: (240) 313-3101
- 1741 Dual HwyHagerstown, MD 21740-6624Phone: (301) 790-0254
- 13424 Pennsylvania Ave Ste 104Hagerstown, MD 21742Phone: (240) 313-3100Fax: (240) 313-3101
- 7350 Van Dusen Rd Ste 130Laurel, MD 20707-5267Phone: (301) 498-8880Fax: (301) 498-7939
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2024-12-31
- Certified
- 2024-12-31
Frequently asked questions
- What is Karen Plunkett-Reid's NPI number?
- Karen Plunkett-Reid's National Provider Identifier (NPI) is 1316006844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Plunkett-Reid's specialty?
- Karen Plunkett-Reid is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Plunkett-Reid located?
- Karen Plunkett-Reid's practice location on file with NPPES is 2200 Defense Hwy Ste 307, Crofton, MD 21114-2930.
- What is Karen Plunkett-Reid's phone number?
- The practice phone number listed in the NPPES registry for Karen Plunkett-Reid is (410) 482-5295.
- Does Karen Plunkett-Reid accept Medicare?
- Karen Plunkett-Reid is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Plunkett-Reid's NPI active?
- Yes — Karen Plunkett-Reid's NPI (1316006844) is active in the NPPES registry as of the last update on 2024-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.