Doctor profile · Federal record

Dr. Karen Tosh, NP

Primary Care Nurse Practitioner (CMS: Nurse Practitioner) · Primary Care Nurse Practitioner · Centralia, WA

  • NPI 1609386226
  • Accepts Medicare
  • 11 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1815 Cooks Hill RD Ste B
Centralia, WA 985319170
(360) 807-5029
fax (360) 807-5051

Credentials & registration

NPPES · NUCC
NPI registered
October 2017 — 9 yrs on file
Profile last updated
May 22, 2024
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
363LP2300X — NUCC code
State licenses (2)
Washington #AP60865821 · Georgia #243380

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1609386226. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,105
Distinct HCPCS
8
Medicare allowed
$116,860
HCPCS Description Services Patients Avg allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 755 262 $108
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 127 87 $65
99344 Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 90 90 $121
G0180 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 58 56 $45
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 29 21 $156
99496 Transitional care management services for problem of high complexity 20 18 $236
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 14 14 $170
99495 Transitional care management services for problem of at least moderate complexity 12 12 $175

In context: peer comparison

Among 1 peers in this city , average services per provider: 138. This provider delivers 8.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$55
Transactions
3
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 3 $54.83

By nature of payment

Food and Beverage
$55

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
6,990
Patients
1,207
Total drug cost
$129,202
Drug Type Claims Patients Total cost
Quetiapine Fumarate Generic 965 147 $19,114
Atorvastatin Calcium Generic 697 127 $10,742
Levothyroxine Sodium Generic 586 89 $8,250
Trazodone Hcl Generic 534 102 $6,112
Amlodipine Besylate Generic 491 78 $4,729
Olanzapine Generic 466 82 $10,834
Citalopram Hbr (Citalopram Hydrobromide) Brand 446 76 $4,731
Furosemide Generic 401 74 $3,480
Lisinopril Generic 397 70 $4,060
Divalproex Sodium Generic 383 73 $24,375

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Karen Tosh's medical specialty?
Dr. Karen Tosh practices Primary Care Nurse Practitioner in Centralia, WA.
Where does Dr. Karen Tosh practice?
Dr. Karen Tosh practices at 1815 Cooks Hill RD Ste B, Centralia, WA 985319170. Office phone: 3608075029.
What is Dr. Karen Tosh's NPI?
Dr. Karen Tosh's National Provider Identifier (NPI) is 1609386226, issued by NPPES.
Does Dr. Karen Tosh accept Medicare assignment?
Yes. Dr. Karen Tosh accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Karen Tosh commonly perform?
Top Medicare-reported procedures in 2023: Residence visit for established patient with moderate level of medical decision making (HCPCS 99349); Residence visit for established patient with low level of medical decision making (HCPCS 99348); Residence visit for new patient with moderate level of medical decision making (HCPCS 99344). Source: CMS Medicare Physician & Other Practitioners file.