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DR. KAREN YVONNE LUSTER M.D.
NPI 1043322753
Internal Medicine in College Park, GA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1720 PHOENIX BLVD, STE 700, COLLEGE PARK, GA 30349(470) 369-7800(470) 369-7801 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2020, Oct 6, 2020 (2 updates tracked since 2020).

About Dr. Karen Yvonne Luster M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAREN YVONNE LUSTER M.D. (NPI 1043322753) is an individual internal medicine provider in College Park, Georgia, licensed in Georgia (53580) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Tulane University School Of Medicine (2001).

NPPES Registry Identity

NPI1043322753
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAREN YVONNE LUSTERCredential: M.D.
Location Address1720 PHOENIX BLVD, STE 700College Park, GA 30349
Mailing Address1720 Phoenix Blvd, Ste 700College Park, GA 30349 · (470) 369-7800 · Fax (470) 369-7801
Phone(470) 369-7800
Fax(470) 369-7801
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2001
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1043322753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 53580✔ Licensed in GA · 053580
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1720 PHOENIX BLVD, College Park, GA 30349
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen Yvonne Luster M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012953284
PECOS Enrollment IDI20050629000002
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Karen Luster reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Compass Primary Care LLC
Same address
Internal Medicine
1720 PHOENIX BLVD STE 700
College Park, GA 30349
  • Reassigned Medicare billing, Georgia enrollment
NPI 1508340860 (470) 369-7800
Privia Medical Group Of Georgia LLC
11 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285
Medical Office Force
64 mi
Internal Medicine
2005 PRINCE AVENUE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
NPI 1508378613 (706) 208-9700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services60 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
161 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
130 services52 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
83 services18 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
82 services18 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
43 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30349 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDRA WORDLAW-WATKINS M.D.
Family Medicine
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 997-9928
DR. JANELLA LYNNE THOMAS-BURSE M.D.
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD, SUITE 700
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
MS. KARYN L KOCHAN MS, LPC
Counselor (Professional)
1720 PHOENIX BLVD, STE 540
ATLANTA, GA 30349
Fulton County (770) 875-6376
DR. ALECIA RENEE LOVELADY MD
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD, SUITE 700
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
KIDS AVENUE PEDIATRICS LLC
Pediatrics
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 909-8007
MS. SUSAN RACHELLE WINFIELD L.P.C.
Counselor (Professional)
1720 PHOENIX BLVD, SUITE 540
COLLEGE PARK, GA 30349
Fulton County (770) 909-9500
PHOENIX WOMEN'S CENTER, P.C.
Obstetrics & Gynecology (Gynecology)
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (404) 446-4792
GERTRUDE BROWN ARRINGTON MD
Pediatrics
1720 PHOENIX BLVD
COLLEGE PARK, GA 30349
Fulton County (770) 909-8007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Luster's NPI number?

The NPI number for Karen Luster is 1043322753. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Karen Luster located?

Karen Luster practices at 1720 Phoenix Blvd Ste 700, College Park, GA 30349. The listed phone number is (470) 369-7800.

What is Karen Luster's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Luster enrolled in Medicare?

Yes. Karen Luster is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karen Luster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Luster reassigns Medicare benefits to 3 organizations: Compass Primary Care LLC (College Park, GA), Privia Medical Group Of Georgia LLC (Fayetteville, GA) and Medical Office Force (Athens, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Luster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Luster accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Karen Luster as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Luster affiliated with any hospitals?

According to CMS data, Karen Luster is affiliated with Wellstar Kennestone Regional Medical Center, Emory Decatur Hospital, Northside Hospital, Piedmont Henry Hospital and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Karen Luster was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.