Karen S. Playforth, MD
Maternal & Fetal Medicine Physician · Lexington, KY
Karen S. Playforth, MD is a maternal & fetal medicine physician with a practice address in Lexington, Kentucky, and NPI 1285619510, issued on Dec 9, 2005. Check the license (Kentucky 44048, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Karen S. Playforth
- Credential
- MD
- Primary taxonomy
- Maternal & Fetal Medicine Physician 207VM0101X
- License numbers
- 44048 KY
237268-1 NY
Self-reported in NPPES; status is on the state search - Practice location
- 800 Rose St, Lexington, KY 40536
- Phone
- (859) 218-5692
- Enumerated
- Dec 9, 2005
- Record last updated
- Apr 17, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20101228000238); accepts Medicare assignment
- Medical or professional school
- University Of Kentucky College Of Medicine, 1999
- Entity
- Type 1 · individual
8 nearest maternal & fetal medicine physician records → All 42 in Kentucky → Look up another NPI →
Also registered at 800 Rose St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Karen S. Playforth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 44048Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
32% fewer Medicare Part D claims than the average maternal & fetal medicine physician in 2024
28 Medicare Part D claims, against an average of 41 among the 353 providers of this specialty who prescribed in Part D.
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 MIPS final score for 2023 (Medicare payment program): 95.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $24.74
1 payment: food and beverage; the largest payer was Insulet Corporation. The 784 providers of this specialty with any payment received $1,252.61 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
- Baptist Health Medical Group IncLexington, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karen S. Playforth among 42 maternal & fetal medicine physician records in Kentucky
Karen S. Playforth, MD is one of 42 maternal & fetal medicine physician records with a practice address in Kentucky. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated1999 · median 2003 among the 32 with a school on file
- Record last updated2012 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VM0101X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Maternal & Fetal Medicine Physician providers in Kentucky
There are 42 maternal & fetal medicine physician records in Kentucky.
All 42 in Kentucky → Every provider in Lexington → Maternal & Fetal Medicine Physician nationwide →
The 8 maternal & fetal medicine physician records with the nearest ZIP codes
- Ashley Boerrigter, MDLexington, KY 405361386149649
- Niraj Chavan, MD, MPHLexington, KY 405361700124427
- Wendy Hansen, MDLexington, KY 405361427094200
- Alexander Harrison, MDLexington, KY 405361639705635
- Brittany Hood, MDLexington, KY 405361891371670
- Suzanne Lubarsky, M.D.Lexington, KY 405361134239338
- Frank MillerLexington, KY 405361790720761
- John O'Brien, MDLexington, KY 405361528078748
Common questions
What is Karen S. Playforth, MD's NPI number?
Karen S. Playforth, MD's National Provider Identifier (NPI) is 1285619510, issued on Dec 9, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Karen S. Playforth, MD located?
The NPPES record lists a practice address at 800 Rose St, Lexington, KY, 40536. Phone: (859) 218-5692. Providers update this record themselves, so call before visiting.
How can I verify Karen S. Playforth, MD's license?
NPPES lists Kentucky license number 44048, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karen S. Playforth, MD prescribe under Medicare Part D?
In 2024, Karen S. Playforth, MD had 28 Medicare Part D claims; the average among maternal & fetal medicine physician prescribers was 41. Part D covers Medicare prescriptions only.
What is Karen S. Playforth, MD's MIPS final score?
The 2023 MIPS final score is 95.5 of 100. 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.