KAREN THRASHER RADER M.D.
NPI 1790733277
Internal Medicine in Knoxville, TN
NPI Status: Active since May 05, 2006
Contact Information
9330 PARK WEST BLVD
SUITE 402
KNOXVILLE, TN
ZIP 37923
Phone: (865) 690-3003
Fax: (865) 690-6404
- Individual
- Female
- Internal Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About KAREN RADER
This page provides the complete NPI Profile along with additional information for Karen Rader, an internist established in Knoxville, Tennessee with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1790733277 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD0000019462 (TN). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1790733277
- Provider Name
- KAREN THRASHER RADER M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9330 PARK WEST BLVD SUITE 402 KNOXVILLE, TN 37923
- Location Phone
- (865) 690-3003
- Location Fax
- (865) 690-6404
- Mailing Address
- 9330 PARK WEST BLVD SUITE 402 KNOXVILLE, TN 37923
- Mailing Phone
- (865) 690-3003
- Mailing Fax
- (865) 690-6404
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-05-2006
- Last Update Date
- 12-21-2015
- Code Navigator
An internist like Karen Rader is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD0000019462
- License State
- TN
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103I112786 | MEDICARE PIN (08) | TN | |
| 3045558 | MEDICAID (05) | TN | |
| E04285 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Karen Rader is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37923 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.8
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $30.45
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| e-Prescribing | 89% | 7343 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 39% | 824 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Medication Reconciliation | 96% | 28 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 99% | 1179 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 98% | 1183 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 21% | 1183 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 7 | 3 | 3 | 2 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 3 | 6 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 3 + 6 + 2 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1790733277 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912906991 | ROSALIND CADIGAN M.D. Individual | Obstetrics & Gynecology | 9330 PARK WEST BLVD STE 502 KNOXVILLE, TN 37923 (865) 531-3303 |
| 1669471512 | CHARLES SCHROEDER MD Individual | Obstetrics & Gynecology | 9330 PARK WEST BLVD STE 502 KNOXVILLE, TN 37923 (865) 531-3303 |
| 1003809617 | BRENT A GRISHKIN MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9330 PARK WEST BLVD SUITE 108 KNOXVILLE, TN 37923 (865) 769-8635 |
| 1215920830 | DR. ROBERT A HELSEL MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9330 PARK WEST BLVD STE 108 KNOXVILLE, TN 37923 (865) 373-0820 |
| 1568452167 | DR. JOHN MICHAEL HARPER M.D. Individual | Internal Medicine (Interventional Cardiology) | 9330 PARK WEST BLVD SUITE 202 KNOXVILLE, TN 37923 (865) 691-4850 |
| 1770573461 | DR. ROBERT GENTRY M.D. Individual | Internal Medicine (Cardiovascular Disease) | 9330 PARK WEST BLVD SUITE 202 KNOXVILLE, TN 37923 (865) 691-4850 |
| 1831189190 | MS. JAAN KELLY PA-C Individual | Physician Assistant (Medical) | 9330 PARK WEST BLVD SUITE 202 KNOXVILLE, TN 37923 (865) 691-4850 |
| 1831173236 | MARY LOUISE BROOKE RD Individual | Dietitian, Registered | 9330 PARK WEST BLVD SUITE 202 KNOXVILLE, TN 37923 (865) 691-4850 |
| 1144280918 | DR. ALAN N DECARLO MD Individual | Internal Medicine (Cardiovascular Disease) | 9330 PARK WEST BLVD SUITE 202 KNOXVILLE, TN 37923 (865) 691-4850 |
| 1356393904 | RONALD W. BRYAN M.D.,P.C. Organization | Specialist | 9330 PARK WEST BLVD SUITE #103 KNOXVILLE, TN 37923 (865) 690-7820 |
| 1912954710 | CINDY BURGER CAPLAN DPM Individual | Podiatrist | 9330 PARK WEST BLVD SUITE 508 KNOXVILLE, TN 37923 (865) 691-1115 |
| 1699715607 | RICKY SCOTT CAPLAN DPM Individual | Podiatrist | 9330 PARK WEST BLVD SUITE 508 KNOXVILLE, TN 37923 (865) 691-1115 |
| 1366485880 | STEPHEN C DAVIS M.D. Individual | Obstetrics & Gynecology (Gynecology) | 9330 PARK WEST BLVD SUITE 302 KNOXVILLE, TN 37923 (865) 531-5878 |
| 1194849828 | PARKWEST GYNECOLOGY, P.C. Organization | Obstetrics & Gynecology (Gynecology) | 9330 PARK WEST BLVD ST 302 KNOXVILLE, TN 37923 (865) 531-5878 |
| 1124209879 | GARY A SPIEGELMAN MD Organization | Internal Medicine (Gastroenterology) | 9330 PARK WEST BLVD SUITE 307 KNOXVILLE, TN 37923 (865) 531-8632 |
| 1053597427 | OBGYN PROFESSIONALS OF ETN PC Organization | Obstetrics & Gynecology | 9330 PARK WEST BLVD SUITE 502 KNOXVILLE, TN 37923 (865) 531-3303 |
| 1366615734 | DR. RONALD WILLIAM BRYAN M.D. Individual | Specialist | 9330 PARK WEST BLVD SUITE #103 KNOXVILLE, TN 37923 (865) 690-7820 |
| 1639469919 | FEET FIRST, PLLC Organization | Skilled Nursing Facility | 9330 PARK WEST BLVD SUITE #508 KNOXVILLE, TN 37923 (865) 691-1115 |
| 1902849425 | SUSAN J SCHWARZ M.D. Individual | Obstetrics & Gynecology (Gynecology) | 9330 PARK WEST BLVD SUITE 302 KNOXVILLE, TN 37923 (865) 531-5878 |
| 1699015727 | TENNESSEE GYN Organization | Obstetrics & Gynecology (Gynecology) | 9330 PARK WEST BLVD SUITE 409 KNOXVILLE, TN 37923 (865) 531-1173 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790733277, enumerated in the NPI registry as an "individual" on May 05, 2006
The provider is located at 9330 Park West Blvd Suite 402 Knoxville, Tn 37923 and the phone number is (865) 690-3003
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $121.8 with an average copayment of $30.45 for new patient appointments. Established patients should expect a typical charge of $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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