Dr. Karen Ann Smith , DNP, FNP-BC
Nurse Practitioner • Springfield, MA
471 Chestnut St
Springfield, MA 011072007
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Karen Smith is listed in NPPES under Nurse Practitioner.
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NPI assigned on February 8, 2018; this date does not establish years in practice.
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Published CMS data list 96 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 99214 — Established patient outpatient office visit: 96 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 47 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Clonazepam — 24 prescription fills, including refills.
- Quetiapine Fumarate — 23 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 454 in 2019 to 96 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2021.
Practice Location & Contact Primary Location
471 Chestnut St
Springfield, MA 011072007
NPPES lists 1 additional practice-address record in Dummerston, VT. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Brattleboro Retreat. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2017
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $10,974 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $8,731 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
47 standardized 30-day fills in 2022
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$375 in 2022
The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022.
Open Payments general payments, program year 2023
All general payments: $149.67 across 4 records.
By nature of payment
- Education: $79.99 across 1 record.
- Food and Beverage: $69.68 across 3 records.
Reporting-company totals
- Janssen Pharmaceuticals, Inc: $106.01 across 2 records.
- Lundbeck LLC: $22.66 across 1 record.
- Neurocrine BioSciences, Inc.: $21.00 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Smith are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Smith are from 2022.
58 active clinicians are listed under Nurse Practitioner with a practice address in Springfield, MA (3,483 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
12.1% of these 58 clinicians have the CMS telehealth indicator.
51.7% of these 58 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 79% from 454 in 2019 to 96 in 2021.
- 2019: 454
- 2020: 118
- 2021: 96
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Medicare-allowed amount
Medicare-allowed amount decreased 71% from $38,298 in 2019 to $10,974 in 2021.
- 2019: $38,298
- 2020: $7,278
- 2021: $10,974
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Paid by Medicare
Paid by Medicare decreased 71% from $30,457 in 2019 to $8,731 in 2021.
- 2019: $30,457
- 2020: $3,723
- 2021: $8,731
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 71% from 163 in 2019 to 47 in 2022.
- 2019: 163
- 2020: 75
- 2021: 666
- 2022: 47
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30-day fills
30-day fills decreased 71% from 163 in 2019 to 47 in 2022.
- 2019: 163
- 2020: 75
- 2021: 676
- 2022: 47
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Part D drug cost
Part D drug cost decreased 98% from $21,756 in 2019 to $375 in 2022.
- 2019: $21,756
- 2020: $11,721
- 2021: $12,695
- 2022: $375
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $42.96 in 2022 to $149.67 in 2023.
- 2022: $42.96
- 2023: $149.67
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2022), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $149.67.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Education
In-kind items and services
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INVEGA SUSTENNA | General | $79.99 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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INVEGA SUSTENNA | General | $26.02 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
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REXULTI | General | $22.66 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $21.00 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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96 | 16 | $154.76 | $114.31 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Clonazepam | Clonazepam | 24 | 678 | $192.32 | 12 |
| Quetiapine Fumarate | Quetiapine Fumarate | 23 | 642 | $182.51 | — |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-01-21NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LP0808X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20201006001273
VT
6507114832
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Brattleboro Retreat
22 Anna Marsh Ln, Dummerston, VT 053013292
Phone: 8022584391
Secondary Practice Locations
22 Anna Marsh Ln
Dummerston, VT 053013292
Phone: 8022583707
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Social Worker - Clinical
Licensed Independent Clinical Social Worker
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated February 08, 2018.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2018 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Springfield
- Vyacheslav Verbetsky, NP-C
- Kelly Hayward, FNP-BC
- Maura Squires, NP
- Betty Cheng, NP
- Helen Petros, NP, PA-C
- Celia Gouldbourne-Dunkelly, NP
Mailing Address
471 Chestnut St
Springfield, MA 011072007
Phone: 4132721876