Medicare Enrolled

Dr. Karen Smith, CRNP

Nurse Practitioner - Family · Springfield, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
965 BALTIMORE PIKE STE B2, Springfield, PA 19064
4845735116
In practice since 2016 (9 years)
NPI: 1285186809 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Smith from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Smith? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Smith

Dr. Karen Smith is a nurse practitioner - family in Springfield, PA, with 9 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 656 Medicare services across 467 unique beneficiaries.

Between the years covered by Open Payments, Dr. Smith received a total of $13,926 from 53 pharmaceutical and/or device companies across 524 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in nurse practitioner - family. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Smith is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 9 years in practice ▲ Top 12% volume in PA $13,926 industry payments

Medicare Practice Summary

Medicare Utilization ↗
656
Medicare services
Top 12% in PA for nurse practitioner - family
467
Unique beneficiaries
$55
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~73 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
175 $48 $235
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
124 $69 $170
Home visit, established patient, straightforward decision making
A home visit for an established patient involving straightforward medical decision making. The visit lasts at least 15 minutes when time is used to determine the level of service.
99 $37 $72
Home visit, established patient, low complexity
A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes.
84 $44 $155
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
42 $31 $122
Home visit, established patient, moderate complexity
A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service.
34 $61 $140
Pneumococcal conjugate vaccine (PCV20)
An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria.
22 $283 $385
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
22 $32 $40
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
21 $32 $40
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
19 $45 $155
Quadrivalent influenza vaccine, preservative-free
A flu shot containing four strains of the influenza virus, formulated without preservatives, administered in a 0.5 ml dose.
14 $20 $40
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$13,926
Total received (2021-2024)
Avg $3,481/year across 4 years
Top 1% in PA for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
53
Companies
524
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,926 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,047
2023
$3,739
2022
$3,167
2021
$2,972

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$519
Teva Pharmaceuticals USA, Inc.
$453
AstraZeneca Pharmaceuticals LP
$411
Lilly USA, LLC
$362
Novo Nordisk Inc
$355
PFIZER INC.
$288
Boehringer Ingelheim Pharmaceuticals, Inc.
$239
GlaxoSmithKline, LLC.
$237
Exact Sciences Corporation
$233
Phathom Pharmaceuticals, Inc.
$210
Janssen Pharmaceuticals, Inc
$149
Otsuka America Pharmaceutical, Inc.
$121
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$104
Neurocrine Biosciences, Inc.
$72
Dexcom, Inc.
$65
E.R. Squibb & Sons, L.L.C.
$59
Kyowa Kirin, Inc.
$57
Astellas Pharma US Inc
$33
Abbott Laboratories
$23
SANOFI-AVENTIS U.S. LLC
$22
Lundbeck LLC
$20
Sumitomo Pharma America, Inc.
$16
Top 3 companies account for 34.2% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$1,655
Novo Nordisk Inc
$1,399
AstraZeneca Pharmaceuticals LP
$1,246
Lilly USA, LLC
$1,145
Janssen Pharmaceuticals, Inc
$763
GlaxoSmithKline, LLC.
$729
PFIZER INC.
$697
AbbVie Inc.
$694
Boehringer Ingelheim Pharmaceuticals, Inc.
$692
Teva Pharmaceuticals USA, Inc.
$484
Exact Sciences Corporation
$375
Astellas Pharma US Inc
$309
Bayer HealthCare Pharmaceuticals Inc.
$293
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$251
Phathom Pharmaceuticals, Inc.
$210
IDORSIA PHARMACEUTICALS US INC
$204
Collegium Pharmaceutical, Inc.
$177
Abbott Laboratories
$153
Otsuka America Pharmaceutical, Inc.
$148
Daiichi Sankyo Inc.
$142
Biogen, Inc.
$142
Paratek Pharmaceuticals, Inc.
$140
Axsome Therapeutics, Inc.
$118
Biohaven Pharmaceutical Holding Company Ltd.
$115
Inspire Medical Systems, Inc.
$113
Dexcom, Inc.
$110
Avanir Pharmaceuticals, Inc.
$108
Esperion Therapeutics, Inc.
$106
Merck Sharp & Dohme Corporation
$96
Neurocrine Biosciences, Inc.
$93
Kyowa Kirin, Inc.
$84
JAZZ PHARMACEUTICALS INC.
$83
Insmed, Inc.
$76
Alkermes, Inc.
$70
SANOFI-AVENTIS U.S. LLC
$66
Amarin Pharma Inc.
$60
Sunovion Pharmaceuticals Inc.
$59
SUN PHARMACEUTICAL INDUSTRIES INC.
$59
E.R. Squibb & Sons, L.L.C.
$59
Takeda Pharmaceuticals U.S.A., Inc.
$58
Xeris Pharmaceuticals, Inc.
$45
Aimmune Therapeutics, Inc.
$42
Bayer Healthcare Pharmaceuticals Inc.
$41
Merck Sharp & Dohme LLC
$37
Novartis Pharmaceuticals Corporation
$34
Nestle HealthCare Nutrition Inc.
$23
Biohaven Pharmaceuticals, Inc.
$22
Lundbeck LLC
$20
BioCryst US Sales Co., LLC
$18
Sumitomo Pharma America, Inc.
$16
Almatica Pharma LLC
$16
UCB, Inc.
$15
ACADIA Pharmaceuticals Inc
$14
Top 3 companies account for 30.9% of all-time payments
Associated products mentioned in payments ›
ADUHELM · AIRSUPRA · AREXVY · ARISTADA · AUSTEDO · Arikayce · Austedo XR · BELSOMRA · BREZTRI · Briviact · CAMZYOS · COLOGUARD DNA CAPTURE REAGENTS · Cologuard Collection Kit · Crysvita · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · GATTEX · GEMTESA · GRALISE · GVOKE HYPOPEN · GVOKE PFS · INGREZZA · INJECTAFER · INSPIRE · INVEGA SUSTENNA · JANUVIA · JARDIANCE · KAPSPARGO · KYNMOBI · Kerendia · LEQVIO · LOKELMA · MOUNJARO · MYRBETRIQ · Myrbetriq · NEXLIZET · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · NUZYRA · Nuedexta · OXBRYTA · Orladeyo · Ozempic · PALFORZIA · PAXLOVID · PREVNAR 13 · PREVNAR 20 · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · SHINGRIX · SPINRAZA · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · Saxenda · Sunosi · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TZIELD · UBRELVY · VIVITROL · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Wegovy · XARELTO · XIFAXAN · XTAMPZA · ZENPEP
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for nurse practitioner - family in PA.

Looking for a nurse practitioner - family in Springfield?
Compare family nurse practitioners in the Springfield area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family nurse practitioners within 10 mi
2,276
Per 100K population
395.0
County median income
$88,576
Nearest hospital
MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD
3.9 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Smith is a clinical cardiology specialist, with above-average Medicare volume (top 12% in PA), with low-engagement industry engagement in the top 1% of PA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Smith experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Smith performed 175 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $13,926 from 53 companies across 524 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Smith's costs compare to other family nurse practitioners in Springfield?
Dr. Smith's average Medicare payment per service is $55. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Smith) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →