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2026 NPPES data Adult Health Nurse Practitioner NPI 1487996617 NP
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Karen Koenig, NP

Adult Health Nurse Practitioner in Taylorville, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,811 in Adult Health Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 401 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6/100
▲ 11 pts above national avg 83.5 · Exceptional
Industry payments
$345.26
12 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Karen Koenig, NP reported a CMS MIPS final score of 94.6/100 - above the 83.5 national average - and filed 4,193 Medicare Part D claims in 2024.

94.6/100
MIPS score · +11 vs avg
4K
Part D claims, 2024
85%
generic prescribing
$345.26
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Karen Koenig, NP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1487996617), first enumerated 03/26/2013.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 4,193 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 94.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Industry payment transparency

    $345.26 in reported industry payments (12 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Karen Koenig, NP's individual license status. Verify directly with the state medical board.

    Source: IDFPR annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1487996617 · Adult Health Nurse Practitioner

NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1487996617
  • ENUM-MID 2013
  • TAX-MID 30K Adult Health
  • MIPS-ELITE 94.6/100
  • RX-MID 4,193
  • BOOK-LIGHT 766 in Illinois
  • PHOTO-FINISH Heidi Dowd · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Karen Koenig, NP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

95 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Karen Koenig, NP sits

This provider among adult health nurse practitioner peers

Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Karen Koenig, NP writes more Part D claims than 94% of them and scores higher on MIPS quality than 77% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 3Karen Koenig, NP, Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 77
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Karen Koenig, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Karen Koenig, NP?

High performer (top quartile)

NPI registry status

Active

Issued 03/26/2013

NPI 1487996617

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,811 US NPIs in this specialty

Medicare Part D claims

4,193 225% vs specialty avg

2024 prescription claims

Specialty avg: 1,291

MIPS final score

94.6/100 11.1 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Illinois

How Adult Health Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker5.2%Physical Therapist4.9%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Heal…4.1%Pharmacist4.1%Adult Health Nurse Practitio…0.3%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Karen Koenig, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
94.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%94.6%
MIPS final score (Adult Health Nurse Practitioner) - 94.6/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

1304 BURNETT DR
Taylorville, IL 62568
(217) 321-9310

Provider Details

NPI 1487996617
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 03/26/2013

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.6154
Final Score
Measured-score avg: 83.5
85.1795
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Karen Koenig, NP. Source: openpaymentsdata.cms.gov.

Total received

$345

Largest payer

Phathom Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Illinois IDFPR 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Karen Koenig, NP. To verify Karen Koenig, NP's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Karen Koenig, NP - brand share 14.0%
Adult Health Nurse Practitioner average

14% brand-name claims vs 85% generic, on 4,193 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

4,193
Total Claims
$354K
Total Drug Cost
401
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,333.067
Total Day Supply
207,057
Brand vs Generic
14% brand / 85% generic
Brand Drug Cost
$304K
Generic Drug Cost
$48K
Opioid Claims
171 (4.1% rate)
Antibiotic Claims
206

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.22
Gender Split
61% female / 39% male
Age Distribution
<65: 45, 65-74: 202, 75-84: 99, 85+: 55

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Karen Koenig, NP prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Omeprazole
 141
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
133
Levothyroxine Sodium
 128
Atorvastatin Calcium
 122
Furosemide
 102
Albuterol Sulfate Hfa
Albuterol Sulfate
94
Alprazolam
 93
Lisinopril
 89
Buspirone Hcl
 87
Losartan Potassium
 85

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Adult Health Nurse Practitioner in IL → All providers in Illinois → Compare specialties →

Adult Health Nurse Practitioner Overview

How Karen Koenig, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,811
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,291
Avg Claims per Provider

Karen Koenig, NP's 4,193 claims are above the specialty average of 1,291.

Nationwide Adult Health Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Koenig, both outside Illinois so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (94.6 here).

Heidi Dowd 94.6 WI Yang Sun 94.6 WI Susan Werchek 94.6 WI Satpreet Naidu 94.6 CA

Same NPPES enumeration year (2013)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Melissa Dubois Tampa, FL Xanthia Settle Atlanta, GA Melanie Hooker Winston Salem, NC Jude Webber Stony Brook, NY

Nearby Adult Health Nurse Practitioner Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Koenig.

One of 766 Adult Health Nurse Practitioner providers enrolled in Illinois, 5 are shown here.

Gloria Abenes
NP
Mount Vernon, IL
Annamma Abraham
NP
Elmhurst, IL
Sara Acosta
FNP-C
Long Grove, IL
Sara Adams
ANP
Chicago, IL
Cathy Adamson
N.P.
Elmhurst, IL

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Karen Koenig, NP's specialty? ▼
Karen Koenig, NP specializes in Adult Health Nurse Practitioner and practices in Taylorville, Illinois. Credentials: NP.
How much does Karen Koenig, NP prescribe under Medicare Part D? ▼
In 2024, Karen Koenig, NP wrote 4,193 Medicare Part D claims totaling $354K in drug costs for 401 beneficiaries.
What is Karen Koenig, NP's Medicare quality score? ▼
Karen Koenig, NP has a CMS MIPS Final Score of 94.6/100 (Quality: 85.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karen Koenig, NP located? ▼
Karen Koenig, NP is located at 1304 BURNETT DR, Taylorville, IL, 62568. Phone: (217) 321-9310.
What is Karen Koenig, NP's NPI number? ▼
Karen Koenig, NP's National Provider Identifier (NPI) is 1487996617, issued on 03/26/2013.
Does Karen Koenig, NP prescribe more brand-name or generic drugs? ▼
Karen Koenig, NP's prescribing is 14% brand-name and 85% generic drugs by claim count, with $304K in brand drug costs.
Does Karen Koenig, NP prescribe opioids? ▼
Yes, Karen Koenig, NP had 171 opioid claims in 2024 with an opioid prescribing rate of 4.1%.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,811 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,291 Medicare Part D claims per year.
What drugs does Karen Koenig, NP prescribe most often? ▼
Based on 2024 Medicare Part D data, Karen Koenig, NP's most frequently prescribed drugs include Omeprazole, Hydrocodone-Acetaminophen, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Koenig, NP accept Medicare? ▼
Karen Koenig, NP appears in CMS Medicare data with 4,193 Part D claims and 401 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Koenig, NP's credentials? ▼
Karen Koenig, NP's NPI is 1487996617 with credentials NP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.