Provider Profile
Karen D. Tosh, NP is a nurse practitioner based in Centralia, WA. Karen is a 2015 graduate of Loyola University of Chicago, Stritch School of Medicine. Karen is also listed as specializing in nurse practitioner — primary care. According to Medicare claims data, Karen cared for 315 Medicare patients across 467 services. The services billed most often include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes, residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes, and residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes. The provider's National Provider Identifier (NPI) is 1609386226.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1815 COOKS HILL RD STE B
Centralia, WA 98531
467 services · 315 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
305 | More often than most peers in Nurse Practitioner |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | Office visit | 99350 |
41 | As often as other peers in Nurse Practitioner |
| Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | Office visit | 99344 |
38 | More often than most peers in Nurse Practitioner |
| Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99348 |
27 | Less often than most peers in Nurse Practitioner |
| Advance care planning, first 30 minutes | Office visit | 99497 |
22 | Less often than most peers in Nurse Practitioner |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Billing code | G0180 |
19 | As often as other peers in Nurse Practitioner |
| Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | Office visit | 99345 |
15 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Karen D. Tosh is a nurse practitioner in Centralia, WA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Karen D. Tosh is listed at 1815 Cooks Hill Rd Ste B, Centralia, WA 98531. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (360) 807-5029. Contact the office directly to confirm availability and scheduling.
NPI registry
Karen D. Tosh's National Provider Identifier is 1609386226. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Karen D. Tosh attended Loyola University of Chicago, Stritch School of Medicine, graduating in 2015. This comes from the CMS National Downloadable File.
CMS public data
Karen D. Tosh has 11 years experience. Calculated from a graduation year of 2015, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Karen D. Tosh the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Karen D. Tosh. If this is you, claiming it is free.
Guide.md
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