Karen S. Heard Cushing, MD
NPI 1720421217ActiveIndividual· Internal Medicine· Portland, ME
Internal Medicine (MD) in Portland, Maine, trained at University of Tennessee, Hsc, College of Medicine (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $626,793 for 6,642 claims, against $86,661 paid for services in 2024.
Overview
| NPI | 1720421217 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 15, 2013 |
| Last updated in NPPES | Mar 3, 2026 |
| Certified by provider | Mar 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD23367 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (ME); Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 265 |
|---|---|
| Services billed | 3,232 across 114 procedure codes |
| Paid by Medicare | $86,661 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,642 · 16,816 30-day fills |
|---|---|
| Patients | 550 |
| Total drug cost | $626,793 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Intermed PASouth Portland, ME · 183 clinicians
Hospital affiliations
- Mainehealth Maine Medical CenterPortland, ME
- Northern Light Mercy HospitalPortland, ME
Other facilities
- Amedisys Home HealthHome health agency · Portland, ME
- Centerwell Home HealthHome health agency · South Portland, ME
- Northern Light Home Care & HospiceHome health agency · So Portland, ME
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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