KAREN L MCGHEE (DO) – Family Medicine Physician, NPI 1174522288
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
442 FAMILY PRACTICE in DE
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Provider Addresses for KAREN L MCGHEE (DO)
Pearson Professional Centers, 111, Continental Drive, Newark, New Castle County, Delaware, 19713, United States
SUITE 406
NEWARK, DE 197134306
Phone: (302) 368-2630
Fax: (302) 368-1271
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($60).
Total Amount
$60
General + Research + Ownership
Payments
1
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $60 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081112000627 | I | Family Practice | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 893 | 276 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 341 | 204 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 219 | 194 | $0 |
| 99497 | Advance care planning, first 30 minutes | 60 | 59 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 60 | 55 | $0 |
Insurance plans in this area (ZIP 19713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | DE | |
| Nurse Practitioner | DE | |
| - | PA | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Family Practice | MD | |
| Nurse Practitioner | DE | |
| Internal Medicine | DE |
Reviews
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