Karen Elizabeth Sokol, MD
NPI 1467666180ActiveIndividual· Family Medicine· Burlington, VT
Opted out of Medicare from October 2026 to October 2028. Family Medicine (MD) in Burlington, Vermont, trained at University of Vermont College of Medicine (class of 2003). Their prescriptions cost Medicare Part D more than their services did: $257,253 for 4,591 claims, against $1,110 paid for services in 2024.
Overview
| NPI | 1467666180 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 10, 2007 |
| Last updated in NPPES | Aug 20, 2025 |
| Certified by provider | Aug 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 042.0011461 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 1, 2026 – Oct 1, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 37 |
|---|---|
| Services billed | 67 across 13 procedure codes |
| Paid by Medicare | $1,110 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,591 · 5,463 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $257,253 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Vermont College of Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Family Practice |
Medical group
- Community Health Centers of Burlington IncBurlington, VT · 83 clinicians
Hospital affiliation
- Univ. of Vermont - Fletcher Allen Health CareBurlington, VT
Other facilities
- Bayada Home Health Care, Inc.Home health agency · Rutland, VT
- Uvmhn Home Health and HospiceHome health agency · Colchester, VT
- Bayada HospiceHospice · Rutland, VT
- Uvmhn Home Health and HospiceHospice · Colchester, VT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 51 family medicine physicians in Burlington · All family medicine physicians in Vermont