Active NPI 1629285515 Individual Practitioner Female Practitioner

Karen Ann Ham , PA-C

Physician Assistant • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Karen Ham, PA-C is a registered healthcare professional specializing in Physician Assistant in Belleville, IL. Practice services are available at 4315 MEMORIAL DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, nursing facility discharge management, more than, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4315 Memorial Dr

Belleville, IL 622265342

Telephone 6182576220

Associated Practice Facility / Clinic

🏢 Protestant Memorial Medical Center, Inc. Facility NPI 1285729210

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Belleville, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.1 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

42 Specialists

Practicing in Belleville, IL (4958 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	737	147	$185.16	$89.31
99316 Nursing facility discharge management, more than 30 minutes	116	114	$220.00	$109.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	26	18	$135.00	$61.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	765	185	$188.00	$89.32
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	177	72	$142.00	$62.85
99316 Nursing facility discharge management, more than 30 minutes	144	130	$218.00	$111.35
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	21	15	$93.00	$33.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	680	175	$181.00	$76.11
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	195	99	$137.00	$58.63
99316 Nursing facility discharge management, more than 30 minutes	157	146	$210.00	$87.53
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	41	32	$89.00	$36.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	655	198	$133.00	$59.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	395	152	$175.00	$77.37
99316 Nursing facility discharge management, more than 30 minutes	153	148	$203.00	$89.43
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	29	25	$86.00	$37.58
99306 Initial nursing facility visit, typically 45 minutes per day	27	27	$318.00	$142.80
99315 Nursing facility discharge day management, 30 minutes or less	21	21	$141.00	$62.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	394	152	$129.00	$59.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	357	154	$169.00	$78.34
99316 Nursing facility discharge management, more than 30 minutes	136	129	$197.00	$90.75
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	17	$83.00	$38.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	468	204	$162.14	$78.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	366	153	$124.63	$59.02
99316 Nursing facility discharge management, more than 30 minutes	168	164	$189.00	$90.20
99315 Nursing facility discharge day management, 30 minutes or less	30	29	$131.33	$63.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	571	254	$165.56	$78.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	439	197	$128.86	$59.54
99316 Nursing facility discharge management, more than 30 minutes	163	157	$191.81	$91.57
99315 Nursing facility discharge day management, 30 minutes or less	18	18	$134.67	$62.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	344	198	$185.00	$78.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	310	145	$150.65	$59.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	279	112	$185.00	$78.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	240	105	$147.56	$59.20
99316 Nursing facility discharge management, more than 30 minutes	108	104	$215.00	$91.18
99316 Nursing facility discharge management, more than 30 minutes	38	36	$215.00	$91.27
99315 Nursing facility discharge day management, 30 minutes or less	17	17	$148.00	$62.76

Medical Specialties & State Licenses

CMS Verified: 2021-02-22

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-002608

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

130 Lincoln Place Ct

Belleville, IL 622215884

Phone: 6182572029

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Lito Rufin , NP

Nurse Practitioner

NPI 1003431560

Nurse Practitioner

Kim Wrigley , PA

Physician Assistant

NPI 1013070440

Physician Assistant

Dr. Vibhu Dhawan , MD

Internal Medicine

NPI 1033315965

Doctor of Medicine (M.D.)

Dr. Bushra Shaukat , MD

Hospitalist

NPI 1033486758

Doctor of Medicine (M.D.)

Dr. Anand Patel , MD

Internal Medicine - Gastroenterology

NPI 1043503972

Doctor of Medicine (M.D.)

Dr. Michelle Burk , DO

Internal Medicine

NPI 1093817355

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 22, 2021

Registered at 4315 MEMORIAL DR, BELLEVILLE, IL 622265342 (Tel: 6182576220)

📍

Updated Business Mailing Address February 22, 2021

Registered at 4315 MEMORIAL DR, BELLEVILLE, IL 622265342 (Tel: 6182576220)

✅

NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2014

Registered at 130 LINCOLN PLACE CT, BELLEVILLE, IL 622215884 (Tel: 6182572029)

📍

Updated Business Mailing Address July 07, 2014

Registered at 130 LINCOLN PLACE CT, BELLEVILLE, IL 622215884 (Tel: 6182572029)

👤

Provider Name / Credentials Updated July 07, 2014

Recorded as KAREN HAM, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Physician Assistant (License #085-002608 in IL)

🟢

Initial NPI Registration & Enumeration May 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629285515

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 17, 2007

Last Update: February 22, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4315 Memorial Dr

Belleville, IL 622265342

Phone: 6182576220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.