Individual provider Active NPI

Karen A Devore, MD

  • Dermatology Physician
  • Spartanburg, SC
National Provider Identifier
1821098823
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15854 Issued in SC
Practice address
490 Floyd Rd
Spartanburg, SC 29307-1518
Phone
(864) 596-7546
Fax
(864) 596-7549
NPI assigned
Aug 1, 2005
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 15854 SC Primary

Addresses

Primary practice location

490 Floyd Rd
Spartanburg, SC 29307-1518

Mailing address

490 Floyd Rd
Spartanburg, SC 29307-1518
Phone (864) 596-7546

Other identifiers 1

IdentifierTypeStateIssuer
158544MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000895 SC Practitioner - Dermatology 7517929508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

490 Floyd Rd
Spartanburg, SC 29307-1518
Phone (864) 596-7546

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1921
Removal or shaving of skin growth271
Skin biopsy64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15854SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Devore Dermatology PA Dermatology CurrentSince Oct 10, 2001 Accepting new patients

Locations

490 Floyd Rd
Spartanburg, SC 29307
Phone (864) 596-7546

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1821098823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 FLOYD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071518",
            "telephone_number": "864-596-7546",
            "fax_number": "864-596-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 FLOYD RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071518",
            "telephone_number": "864-596-7546",
            "fax_number": "864-596-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "15854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158544",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.