NPPES file of Aug 9, 2026

Karen A. Fagan, MD

Pulmonary Disease Physician · Washington, DC

Karen A. Fagan, MD is a pulmonary disease physician with a practice address in Washington, District of Columbia, and NPI 1053401737, issued on Oct 13, 2006. Check the license on the District of Columbia Board of Medicine; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053401737
Name
Karen A. Fagan
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License numbers
28767 AL
33695 CO
Self-reported in NPPES; status is on the state search
Practice location
2150 Pennsylvania Ave NW, Washington, DC 20037
Phone
(202) 741-3540
Enumerated
Oct 13, 2006
Record last updated
Aug 6, 2024
Fax
(202) 741-2238
Medicaid IDs
01336957 CO
06135261 MS
Medicare enrollment
Enrolled (PECOS I20240820001957); accepts Medicare assignment
Medical or professional school
University Of California, San Diego School Of Medicine, 1992
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2150 Pennsylvania Ave NW

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ahmad AalamStudent in an Organized Health Care Education/Training Program1851786909
  2. Nawaf Abaalkhail, MDCritical Care Medicine (Internal Medicine) Physician1104246958
  3. Theophilus Abah, MDAnesthesiology Physician1245810696
  4. Yoosif Abdalla, MDNephrology Physician1679851760
  5. Rim Abdallah, M.D.Student in an Organized Health Care Education/Training Program1962896886
  6. Rami AbdulbakiAnatomic Pathology & Clinical Pathology Physician1851950109

Verify Karen A. Fagan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersDistrict of Columbia Board of MedicineCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the District of Columbia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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51% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

697 Medicare Part D claims for 94 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 49% of claims. 20 claims were for opioids.

  1. Karen Fagan697
  2. Specialty average1,425

Most prescribed

  1. Opsumit139 claims
  2. Tadalafil72 claims
  3. Uptravi44 claims
  4. Furosemide39 claims
  5. Ambrisentan30 claims
  6. Montelukast Sodium30 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): 96.6 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.

  1. Qualityout of 100 · 30% of the final score89.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $694.14

29 payments; by number, the most common kind was food and beverage; the largest payer was Actelion Pharmaceuticals US, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Karen Fagan$694.14
  2. Specialty average$5,159.88

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

  1. Medical Faculty Associates, IncWashington, DC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Karen A. Fagan among 76 pulmonary disease physician records in District of Columbia

Karen A. Fagan, MD is one of 76 pulmonary disease physician records with a practice address in District of Columbia. 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 2006, is newer than 14% of them.

  • NPI issued2006 · 14% of these records are older, 43% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated1992 · median 2000 among the 48 with a school on file
  • Record last updated2024 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a District of Columbia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in District of Columbia

There are 76 pulmonary disease physician records in District of Columbia.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Jalil Ahari, MDWashington, DC 200371205010808
  2. Ammar AlhaddadWashington, DC 200371558756619
  3. Byron Cooper, M.D.Washington, DC 200371164484341
  4. Khalil Diab, MDWashington, DC 200371528230109
  5. David Gross, M.D.Washington, DC 200371760444020
  6. Guillermo Gutierrez, MDWashington, DC 200371215946082
  7. Ann Medinger, M.D.Washington, DC 200371609876143
  8. Gary Miller, M.D.Washington, DC 200371386606952

Common questions

What is Karen A. Fagan, MD's NPI number?

Karen A. Fagan, MD's National Provider Identifier (NPI) is 1053401737, issued on Oct 13, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Karen A. Fagan, MD located?

The NPPES record lists a practice address at 2150 Pennsylvania Ave NW, Washington, DC, 20037. Phone: (202) 741-3540. Providers update this record themselves, so call before visiting.

How can I verify Karen A. Fagan, MD's license?

Search the District of Columbia Board of Medicine at https://dchealth.dc.gov/bomed. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Karen A. Fagan, MD prescribe under Medicare Part D?

In 2024, Karen A. Fagan, MD had 697 Medicare Part D claims for 94 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Karen A. Fagan, MD's MIPS final score?

The 2023 MIPS final score is 96.6 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.