Karen L. Maughan, M.D.
Family Medicine Physician · Charlottesville, VA
Karen L. Maughan, M.D. is a family medicine physician with a practice address in Charlottesville, Virginia, and NPI 1467597187, issued on Feb 20, 2007. Check the license (Virginia 0101049179, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Karen L. Maughan
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 0101049179 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1221 Lee St, Charlottesville, VA 22908
- Phone
- (434) 924-5348
- Enumerated
- Feb 20, 2007
- Record last updated
- Oct 8, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (434) 924-8335
- Medicaid ID
- 005609143 VA
- Medicare enrollment
- Enrolled (PECOS I20060328000763); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 4,137 in Virginia → Look up another NPI →
Also registered at 1221 Lee St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amal Abu Libdeh, M.DNeurology Physician1720375785
- Dana Albon, M.D.Pulmonary Disease Physician1932322948
- Claudia Allen, PHDClinical Psychologist1538241633
- Andrew BarrosPulmonary Disease Physician1518384502
- Kimberly Bednar, FNPFamily Nurse Practitioner1053499087
- Judith Benes, CRNACertified Registered Nurse Anesthetist1073668588
Verify Karen L. Maughan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101049179Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
77% fewer Medicare Part D claims than the average family medicine physician in 2024
814 Medicare Part D claims for 94 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims. 18 claims were for opioids.
Most prescribed
- Atorvastatin Calcium95 claims
- Amlodipine Besylate55 claims
- Lisinopril54 claims
- Losartan Potassium34 claims
- Metoprolol Succinate24 claims
- Hydrochlorothiazide22 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): 79.4 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
- University OF Virginia Physicians GroupCharlottesville, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karen L. Maughan among 4,137 family medicine physician records in Virginia
Karen L. Maughan, M.D. is one of 4,137 family medicine physician records with a practice address in Virginia. 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 2007, is newer than 50% of them.
- NPI issued2007 · 50% of these records are older, 41% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated1991 · median 2004 among the 2,426 with a school on file
- Record last updated2020 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
114 family medicine physician records list a practice address in Charlottesville
They are 114 of the 7,000 NPPES records with a practice address in Charlottesville, and 4,137 family medicine physician records in Virginia.
All 4,137 in Virginia → Every provider in Charlottesville → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Matthew Curry, MDCharlottesville, VA 229081477998409
- Sim GalazkaCharlottesville, VA 229081710056346
- John GazewoodCharlottesville, VA 229081265501894
- Fern HauckCharlottesville, VA 229081831268440
- Jeremy Kent, M.D.Charlottesville, VA 229081376722124
- Latrina Lemon, M.D.Charlottesville, VA 229081740324789
- Li Li, MDCharlottesville, VA 229081396734216
- Masahiro Morikawa, MDCharlottesville, VA 229081578597712
Common questions
What is Karen L. Maughan, M.D.'s NPI number?
Karen L. Maughan, M.D.'s National Provider Identifier (NPI) is 1467597187, issued on Feb 20, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Karen L. Maughan, M.D. located?
The NPPES record lists a practice address at 1221 Lee St, Charlottesville, VA, 22908. Phone: (434) 924-5348. Providers update this record themselves, so call before visiting.
How can I verify Karen L. Maughan, M.D.'s license?
NPPES lists Virginia license number 0101049179, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karen L. Maughan, M.D. prescribe under Medicare Part D?
In 2024, Karen L. Maughan, M.D. had 814 Medicare Part D claims for 94 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Karen L. Maughan, M.D.'s MIPS final score?
The 2023 MIPS final score is 79.4 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.