Karen G. Nead, M.D.
Pediatrics Physician · Rochester, NY
Karen G. Nead, M.D. is a pediatrics physician with a practice address in Rochester, New York, and NPI 1174568968, issued on Jun 17, 2006. Check the license (New York 212757, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Karen G. Nead
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 212757 NY
Self-reported in NPPES; status is on the state search - Practice location
- 913 Culver RD, Rochester, NY 14609
- Phone
- (585) 654-5432
- Enumerated
- Jun 17, 2006
- Record last updated
- Jul 5, 2023
- Fax
- (585) 288-7871
- Medicare enrollment
- Enrolled (PECOS I20070418000079); accepts Medicare assignment
- Medical or professional school
- University Of Rochester School Of Medicine And Dentistry, 1997
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 5,795 in New York → Look up another NPI →
Also registered at 913 Culver RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Craig Benson, M.D.Internal Medicine Physician1336267376
- Todd Bingemann, M.D.Internal Medicine Physician1346227311
- Heather Busick, M.D.Internal Medicine Physician1023374196
- Enrico Caiola, M.D.Internal Medicine Physician1043252406
- Caitlyn Divincenzo, NPFamily Nurse Practitioner1558256669
- Amy Fix, M.D.Pediatrics Physician1346277340
Verify Karen G. Nead in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 212757Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
8.2 times the Medicare Part D claims of the average pediatrics physician in 2024
3,059 Medicare Part D claims for 265 beneficiaries, against an average of 375 among the 5,609 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 246 claims were for opioids.
Most prescribed
- Atorvastatin Calcium134 claims
- Gabapentin119 claims
- Rosuvastatin Calcium86 claims
- Hydroxyzine Hcl79 claims
- Omeprazole74 claims
- Zolpidem Tartrate74 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): 85.2 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
- Highland Hospital OF RochesterAvon, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karen G. Nead among 5,795 pediatrics physician records in New York
Karen G. Nead, M.D. is one of 5,795 pediatrics physician records with a practice address in New York. 36% 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 7% of them.
- NPI issued2006 · 7% of these records are older, 51% newer
- In a Medicare fileYes · 36% of these records are
- In the CMS Doctors and Clinicians fileYes · 8% of these records are
- Graduated1997 · median 2008 among the 451 with a school on file
- Record last updated2023 · 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 208000000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
243 pediatrics physician records list a practice address in Rochester
They are 243 of the 20,520 NPPES records with a practice address in Rochester, and 5,795 pediatrics physician records in New York.
All 5,795 in New York → Every provider in Rochester → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Barbara Dooley, M.D.Rochester, NY 146091225120181
- Amy Fix, M.D.Rochester, NY 146091346277340
- William Hardy, DORochester, NY 146091780240127
- Jill KauffmannRochester, NY 146091720433667
- Susan Miller, MDRochester, NY 146091225024714
- Karen Penird, M.D.Rochester, NY 146091699761296
- Maria Elena Banghart, M.D.Rochester, NY 146071588625172
- Jina Bisen, MDRochester, NY 146071114582426
Common questions
What is Karen G. Nead, M.D.'s NPI number?
Karen G. Nead, M.D.'s National Provider Identifier (NPI) is 1174568968, issued on Jun 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Karen G. Nead, M.D. located?
The NPPES record lists a practice address at 913 Culver RD, Rochester, NY, 14609. Phone: (585) 654-5432. Providers update this record themselves, so call before visiting.
How can I verify Karen G. Nead, M.D.'s license?
NPPES lists New York license number 212757, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karen G. Nead, M.D. prescribe under Medicare Part D?
In 2024, Karen G. Nead, M.D. had 3,059 Medicare Part D claims for 265 beneficiaries; the average among pediatrics physician prescribers was 375. Part D covers Medicare prescriptions only.
What is Karen G. Nead, M.D.'s MIPS final score?
The 2023 MIPS final score is 85.2 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.