Karen A. Alton, MD
Pediatrics Physician · Detroit, MI
Karen A. Alton, MD is a pediatrics physician with a practice address in Detroit, Michigan, and NPI 1649264037, issued on Aug 31, 2005. Check the license (Michigan 4301066273, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Karen A. Alton
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 4301066273 MI
Self-reported in NPPES; status is on the state search - Practice location
- 22201 Moross RD, Detroit, MI 48236
- Phone
- (313) 343-3481
- Enumerated
- Aug 31, 2005
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (313) 343-7937
- Medicaid ID
- 4417590 MI
- Medicare enrollment
- Enrolled (PECOS I20180815002883); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,180 in Michigan → Look up another NPI →
Also registered at 22201 Moross RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Karen A. Alton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license 4301066273Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average pediatrics physician in 2024
12 Medicare Part D claims, against an average of 375 among the 5,609 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 83.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Henry Ford Health St. John HospitalDetroit, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karen A. Alton among 2,180 pediatrics physician records in Michigan
Karen A. Alton, MD is one of 2,180 pediatrics physician records with a practice address in Michigan. 38% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileYes · 38% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated1995 · median 2011 among the 235 with a school on file
- Record last updated2007 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
270 pediatrics physician records list a practice address in Detroit
They are 270 of the 19,832 NPPES records with a practice address in Detroit, and 2,180 pediatrics physician records in Michigan.
All 2,180 in Michigan → Every provider in Detroit → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
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- Marcus Degraw, MDDetroit, MI 482361750375002
- Maria Duenas, MDDetroit, MI 482361295729580
- Basel Hamzeh, MDDetroit, MI 482361790779080
- Natalie Kontos, DODetroit, MI 482361053571885
- James Landers, MDGrosse Pointe Woods, MI 482361225139918
- Angela Mata, MDDetroit, MI 482361366623704
Common questions
What is Karen A. Alton, MD's NPI number?
Karen A. Alton, MD's National Provider Identifier (NPI) is 1649264037, issued on Aug 31, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Karen A. Alton, MD located?
The NPPES record lists a practice address at 22201 Moross RD, Detroit, MI, 48236. Phone: (313) 343-3481. Providers update this record themselves, so call before visiting.
How can I verify Karen A. Alton, MD's license?
NPPES lists Michigan license number 4301066273, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karen A. Alton, MD prescribe under Medicare Part D?
In 2024, Karen A. Alton, MD had 12 Medicare Part D claims; the average among pediatrics physician prescribers was 375. Part D covers Medicare prescriptions only.
What is Karen A. Alton, MD's MIPS final score?
The 2023 MIPS final score is 83.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.