1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Ophthalmology
  6. NPI Profile

KAREN DEBORAH SUMERS M.D.
NPI 1265599195
Ophthalmology in Atlanta, GA

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
96.55/100
CMS Quality Rating
3280 HOWELL MILL RD NW, SUITE 130, ATLANTA, GA 30327(404) 355-5555(404) 355-0055 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Karen Deborah Sumers M.d. NPPES

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

KAREN DEBORAH SUMERS M.D. (NPI 1265599195) is an individual ophthalmology provider in Atlanta, Georgia, licensed in Georgia (21600) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1976).

NPPES Registry Identity

NPI1265599195
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKAREN DEBORAH SUMERSCredential: M.D.
Location Address3280 HOWELL MILL RD NW, SUITE 130Atlanta, GA 30327-4107
Mailing Address3280 Howell Mill Rd Nw, Suite 130Atlanta, GA 30327-4107 · (404) 355-5555
Phone(404) 355-5555
Fax(404) 355-0055
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1976
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265599195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 21600
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3280 HOWELL MILL RD NW, Atlanta, GA 30327
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Deborah Sumers 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 ID9335157593
PECOS Enrollment IDI20060329000524
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.

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.

Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
140 services39 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
121 services116 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
100 services64 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
74 services72 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
21 services19 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30327 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.06
Promoting Interoperability100
Improvement Activities40
Cost94.43

Other Providers at the Same Location NPPES 20

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

THOMAS D. BERRY M.D.,D.D.S
Dentist (Oral and Maxillofacial Surgery)
3280 HOWELL MILL RD NW, SUITE 240
ATLANTA, GA 30327
Fulton County (404) 351-5335
PACES FERRY ORAL SURGERY, LLC
Dentist (Oral and Maxillofacial Surgery)
3280 HOWELL MILL RD NW, #240
ATLANTA, GA 30327
Fulton County (404) 351-5335
DR. TIMOTHY PHILLIP RESUTA DMD
Dentist (General Practice)
3280 HOWELL MILL RD NW, SUITE 339
ATLANTA, GA 30327
Fulton County (404) 351-1035
DR. ANDREW CURTIS AIKEN D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
3280 HOWELL MILL RD NW, SUITE 240
ATLANTA, GA 30327
Fulton County (404) 351-5335
ALBERT BAAWO JR DMD PC
Dentist
3280 HOWELL MILL RD NW, EAST WING SUITE 315
ATLANTA, GA 30327
Fulton County (404) 355-6088
LEE ROBERT ANISMAN M.D.
Internal Medicine
3280 HOWELL MILL RD NW, SUITE 326
ATLANTA, GA 30327
Fulton County (404) 355-3788
SUSAN H LEE DMD LLC
Dentist (Pediatric Dentistry)
3280 HOWELL MILL RD NW, STE 121
ATLANTA, GA 30327
Fulton County (404) 355-8557
PRIDE MEDICAL, INC.
Internal Medicine
3280 HOWELL MILL RD NW, SUITE 326
ATLANTA, GA 30327
Fulton County (404) 355-3788

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 Sumers's NPI number?

The NPI number for Karen Sumers is 1265599195. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Karen Sumers located?

Karen Sumers practices at 3280 Howell Mill Rd NW Suite 130, Atlanta, GA 30327. The listed phone number is (404) 355-5555.

What is Karen Sumers's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Karen Sumers enrolled in Medicare?

Yes. Karen Sumers 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.

What insurance does Karen Sumers accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Karen Sumers 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.

When was this NPI record last updated?

The NPPES record for Karen Sumers was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.