Karen Edgington
Physician Assistant · Houston, TX
Karen Edgington is a physician assistant with a practice address in Houston, Texas, and NPI 1417430927, issued on Sep 11, 2018. Check the license with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Karen Edgington
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 1631 North Loop W Ste 610, Houston, TX 77008
- Phone
- (713) 880-8600
- Enumerated
- Sep 11, 2018
- Record last updated
- Jun 2, 2023
- Medicare enrollment
- Enrolled (PECOS I20181024000087); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,999 in Texas → Look up another NPI →
Also registered at 1631 North Loop W Ste 610
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Karen Edgington in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
41% fewer Medicare Part D claims than the average physician assistant in 2024
488 Medicare Part D claims for 199 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 26% of claims. 59 claims were for opioids.
Most prescribed
- Clopidogrel134 claims
- Xarelto53 claims
- Eliquis50 claims
- Gabapentin37 claims
- Cilostazol36 claims
- Tramadol Hcl30 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): 82.4 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).
Industry payments in 2024: $107.34
3 payments; by number, the most common kind was food and beverage; the largest payer was W. L. Gore & Associates, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- UT PhysiciansHouston, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karen Edgington among 10,999 physician assistant records in Texas
Karen Edgington is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 55% of them.
- NPI issued2018 · 55% of these records are older, 40% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 55% of these records are
- Graduated2018 · median 2017 among the 6,096 with a school on file
- Record last updated2023 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,801 physician assistant records list a practice address in Houston
They are 1,801 of the 61,221 NPPES records with a practice address in Houston, and 10,999 physician assistant records in Texas.
All 10,999 in Texas → Every provider in Houston → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Scott Brown, P.A.-CHouston, TX 770081437176989
- Reagan CarrollHouston, TX 770081184264863
- Jayne Chirdo Taylor, PA-CHouston, TX 770081306261888
- Kelly Couch, PA-CHouston, TX 770081932137155
- Khanhly Do, P.A. - CHouston, TX 770081730420894
- Paul Docis, PA-CHouston, TX 770081790804946
- Jill Flury, PA-CHouston, TX 770081639226285
- Ricardo Guerra, PAHouston, TX 770081093047805
Common questions
What is Karen Edgington's NPI number?
Karen Edgington's National Provider Identifier (NPI) is 1417430927, issued on Sep 11, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Karen Edgington located?
The NPPES record lists a practice address at 1631 North Loop W Ste 610, Houston, TX, 77008. Phone: (713) 880-8600. Providers update this record themselves, so call before visiting.
How can I verify Karen Edgington's license?
Search the Texas board that licenses this profession; the NPPES record confirms identity only.
How much does Karen Edgington prescribe under Medicare Part D?
In 2024, Karen Edgington had 488 Medicare Part D claims for 199 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Karen Edgington's MIPS final score?
The 2023 MIPS final score is 82.4 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.