NPPES file of Aug 9, 2026

Karen Dorothy Louise Smith, M.D.

Rheumatology Physician · Williamsburg, VA

Karen Dorothy Louise Smith, M.D. is a rheumatology physician with a practice address in Williamsburg, Virginia, and NPI 1154317378, issued on Sep 22, 2005. Check the license (Virginia 0101278515, as entered in NPPES) on the Virginia Department of Health Professions; 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
1154317378
Name
Karen Dorothy Louise Smith
Credential
M.D.
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
0101278515 VA
Self-reported in NPPES; status is on the state search
Practice location
120 Kings Way Ste 2200, Williamsburg, VA 23185
Phone
(757) 645-3460
Enumerated
Sep 22, 2005
Record last updated
Oct 11, 2023
Fax
(757) 645-3481
Medicaid IDs
839347 SC
207621801 TX
Medicare enrollment
Enrolled (PECOS I20230712002584); accepts Medicare assignment
Medical or professional school
Georgetown University School Of Medicine, 1987
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 120 Kings Way Ste 2200

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

  1. Kimberly Fleming, ARNPAcute Care Nurse Practitioner1073823142
  2. Erica Schneider, MDPulmonary Disease Physician1659646990

Verify Karen Dorothy Louise Smith in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101278515
    Check 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 Virginia license search

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8% fewer Medicare Part D claims than the average rheumatology physician in 2024

1,820 Medicare Part D claims for 307 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims.

  1. Karen Smith1,820
  2. Specialty average1,978

Most prescribed

  1. Prednisone382 claims
  2. Methotrexate265 claims
  3. Hydroxychloroquine Sulfate217 claims
  4. Leflunomide55 claims
  5. Humira(Cf) Pen49 claims
  6. Rinvoq43 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 MIPS final score for 2023 (Medicare payment program): 94.1 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.

  1. Qualityout of 100 · 30% of the final score90.7
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%95.8
  4. Improvement activities40 of 40 points · 15%100.0

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

Bills Medicare through one group practice

  1. Riverside Physician Services IncWilliamsburg, VA

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

Karen Dorothy Louise Smith among 197 rheumatology physician records in Virginia

Karen Dorothy Louise Smith, M.D. is one of 197 rheumatology physician records with a practice address in Virginia. 77% 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, 86% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated1987 · median 2004 among the 128 with a school on file
  • Record last updated2023 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in Virginia

There are 197 rheumatology physician records in Virginia.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Elena Flagg, M.D.Williamsburg, VA 231851174580310
  2. Christopher Hakim, MDWilliamsburg, VA 231851598706434
  3. Laila Rahbar, MDWilliamsburg, VA 231851417140864
  4. Soleille Everest, MDRichmond, VA 232291245854678
  5. Karim Masri, M.D.Richmond, VA 232291336451038
  6. Seema Patel, MDHenrico, VA 232331851525729
  7. Keith Burwell, D.O.North Chesterfield, VA 232351215298716
  8. Peter Coutlakis, M.D.Richmond, VA 232351528064482

Common questions

What is Karen Dorothy Louise Smith, M.D.'s NPI number?

Karen Dorothy Louise Smith, M.D.'s National Provider Identifier (NPI) is 1154317378, issued on Sep 22, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Karen Dorothy Louise Smith, M.D. located?

The NPPES record lists a practice address at 120 Kings Way Ste 2200, Williamsburg, VA, 23185. Phone: (757) 645-3460. Providers update this record themselves, so call before visiting.

How can I verify Karen Dorothy Louise Smith, M.D.'s license?

NPPES lists Virginia license number 0101278515, 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 Dorothy Louise Smith, M.D. prescribe under Medicare Part D?

In 2024, Karen Dorothy Louise Smith, M.D. had 1,820 Medicare Part D claims for 307 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Karen Dorothy Louise Smith, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.1 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.