Physician

Karen Coward, M.D.

According to 2025 Medicare claims, Karen Coward, M.D. (NPI: 1396715496) practices family practice in the Rocky Mount, NC market, with the plurality of this provider's patient population coming from Edgecombe, NC. This provider's primary affiliated billing organization is VIDANT MEDICAL GROUP LLC (NPI: 1477648731; TIN: 383740839) and primary practice location at 27886-1935. Coward is affiliated with the Coastal Plains Network, LLC (ACO ID: A2684), participating under the MSSP model.

Coward's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 446 traditional Medicare patients, billed 4,591 HCPCS/CPT codes, and received $158,726 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 14,075 prescription claims across 895 beneficiaries totaling $1,220,449 in drug costs, led by Jardiance (Empagliflozin). DME data shows 189 claims. Open Payments data shows 2 records totaling $31. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $235,011 to $158,726. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and declined steadily, from $31,165 to $20,465.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	632	9,030	$235,011
2016	690	7,291	$188,416
2017	519	6,739	$179,166
2018	519	6,065	$174,410
2019	469	5,823	$164,688
2020	393	5,266	$146,667
2021	353	5,172	$155,630
2022	372	4,068	$131,363
2023	389	4,094	$141,239
2024	446	4,591	$158,726

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	723	16,762	$1,068,349
2016	724	15,983	$983,231
2017	656	15,079	$934,869
2018	584	13,588	$985,753
2019	738	13,172	$1,097,879
2020	584	12,811	$1,093,074
2021	643	12,810	$1,044,246
2022	920	13,994	$1,212,588
2023	871	14,371	$1,426,513
2024	895	14,075	$1,220,449

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	346	1,137	$24,665
2016	267	999	$24,525
2017	192	738	$21,541
2018	168	737	$22,145
2019	138	635	$20,885
2020	109	605	$23,824
2021	106	359	$17,681
2022	45	253	$11,052
2023	18	272	$15,665
2024	15	189	$22,305

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	605	$80
90662	Influenza vaccine split virus, preservative free	186	199	$70
G0008	Administration of influenza virus vaccine	192	208	$30
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	184	399	$12
36415	Insertion of needle into vein for collection of blood sample	191	395	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	215	11,885	$238,019
Trulicity	Dulaglutide	145	4,454	$155,405
Eliquis	Apixaban	139	5,302	$100,834
Mounjaro	Tirzepatide	85	2,496	$93,543
Ozempic	Semaglutide	57	2,320	$58,079

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	44	$15,885
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	N	N/R	11	$3,232
A4414	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	12	$1,263
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$621
A4419	Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each	N	N/R	12	$608

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$31	iRhythm Technologies, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Karen Coward, M.D.?

Tedicare shows public-source Medicare data for Karen Coward, M.D. (NPI 1396715496), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Karen Coward, M.D. have ACO affiliation data?

Karen Coward, M.D. is shown with ACO affiliation data for Coastal Plains Network, LLC (MSSP, ACO ID A2684).

What billing organization is linked to Karen Coward, M.D.?

Karen Coward, M.D. is linked to VIDANT MEDICAL GROUP LLC (billing NPI 1477648731) in the available physician profile data.

Does Karen Coward, M.D. have Open Payments data?

Karen Coward, M.D. has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.