KAREN LEE DUMARS MD
NPI 1417059346
Psychiatry & Neurology - Neurology in Palos Verdes Estates, CA
About Karen Lee Dumars Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN LEE DUMARS MD (NPI 1417059346) is an individual neurology provider in Palos Verdes Estates, California, licensed in California (A81054) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Thomas Hospital For Spinal Surgery, and maintains a secondary practice location in Denver.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Karen Lee Dumars Md 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.
Medicare Billing Reassignments
6Medicare enrollment records show Karen Dumars reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glenwood Springs, CO 81601
- Reassigned Medicare billing, Colorado enrollment
- 6 clinicians in this Medicare group
Denver, CO 80204
- Reassigned Medicare billing, Colorado enrollment
- 2,259 clinicians in this Medicare group
Piedmont, MO 63957
- Reassigned Medicare billing, Missouri enrollment
- 595 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Jacksonville, NC 28546
- Reassigned Medicare billing, North Carolina enrollment
- 137 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Thomas Hospital For Spinal Surgery
Acute Care Hospitals · Nashville, TNProvidence St Peter Hospital
Acute Care Hospitals · Olympia, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Dumars's NPI number?
The NPI number for Karen Dumars is 1417059346. It was assigned to this individual provider in the NPPES registry on September 1, 2006.
Where is Karen Dumars located?
Karen Dumars practices at 718 Via La Cuesta, Palos Verdes Estates, CA 90274. The listed phone number is (800) 348-4565.
What is Karen Dumars's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Karen Dumars enrolled in Medicare?
Yes. Karen Dumars 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 Dumars's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Dumars reassigns Medicare benefits to 6 organizations: Valley View Hospital Association (Glenwood Springs, CO), Denver Health And Hospital Authority (Denver, CO), Saint Francis Medical Center (Piedmont, MO), Remote Neuromonitoring Physicians ,pc (Brentwood, TN), Sentient Physicians, P.C. (Brentwood, TN) and 1 more organization, listed in the Medicare section above. 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 Dumars's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Dumars accept?
Health plans from BridgeSpan Health Company, Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Karen Dumars 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 Dumars affiliated with any hospitals?
According to CMS data, Karen Dumars is affiliated with Saint Thomas Hospital For Spinal Surgery and Providence St Peter Hospital.
When was this NPI record last updated?
The NPPES record for Karen Dumars was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Karen Lee Dumars, MD · NPI 1417059346
Neurology physician in Palos Verdes Estates, California. Individual provider, active in the CMS NPPES registry since September 1, 2006.
## Identity
- **NPI:** 1417059346 (Entity type: Individual)
- **Enumerated:** September 1, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** A81054 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 718 VIA LA CUESTA, Palos Verdes Estates, CA 90274-1472
- **Phone:** (800) 348-4565 · **Fax:** (888) 203-4247
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Valley View Hospital Association (NPI 1720623531, Glenwood Springs, CO); Denver Health And Hospital Authority (NPI 1477569838, Denver, CO); Saint Francis Medical Center (NPI 1053844282, Piedmont, MO); Remote Neuromonitoring Physicians ,pc (NPI 1124253075, Brentwood, TN); Sentient Physicians, P.C. (NPI 1306204805, Brentwood, TN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** October 20, 2026
- **Other identifiers:** Medicaid 00A810540 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1417059346) · Data from the CMS NPPES public registry.