Karen Addis, MD
NPI 1780658120 · Gynecology Physician · Tucson, AZ
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Addis, MD is a Gynecology Physician provider in Tucson, AZ (NPI 1780658120).
Provider details
- NPI number
- 1780658120
- Entity type
- Individual
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 10437 (AZ)
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
20 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
162 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) |
|---|---|---|
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 67 | $37 |
| Screening Papanicolaou Smear; Obtaining, Preparing and Conveyance of Cervical Or Vaginal Smear to LaboratoryQ0091 | 54 | $42 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 16 | $54 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 13 | $87 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 12 | $70 |
Typical Medicare-allowed amounts for these services range $37–$87 (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 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 152 | 62 |
| Medroxyprogesterone Acetate | 56 | 18 |
| Estrogens, Conjugatedbrand: Premarin | 42 | — |
| Acyclovir | 34 | — |
| Estradiolbrand: Yuvafem | 22 | — |
| Estradiolbrand: Estradiol (twice Weekly) | 20 | — |
| Fluconazole | 18 | 12 |
| Progesterone, Micronized |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$43 across 2 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
- 2006-02-14
- Last updated
- 2010-07-28
Frequently asked questions
- What is Karen Addis's NPI number?
- Karen Addis's National Provider Identifier (NPI) is 1780658120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Addis's specialty?
- Karen Addis is listed in the NPPES registry with a primary specialty of Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Addis located?
- Karen Addis's practice location on file with NPPES is 5550 E Hampton St, Tucson, AZ 85712-2919.
- What is Karen Addis's phone number?
- The practice phone number listed in the NPPES registry for Karen Addis is (520) 721-8605.
- Does Karen Addis accept Medicare?
- Karen Addis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Addis's NPI active?
- Yes — Karen Addis's NPI (1780658120) is active in the NPPES registry as of the last update on 2010-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.