KARI-CLAUDIA M ALLEN M.D.
NPI 1528403359
Family Medicine in Columbia, SC

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
3209 COLONIAL DR, COLUMBIA, SC 29203(803) 434-6113 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 16, 2018, Feb 26, 2018, Feb 21, 2018 (3 updates tracked since 2018).

About Kari-claudia M Allen M.d. NPPES

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

KARI-CLAUDIA M ALLEN M.D. (NPI 1528403359) is an individual family medicine provider in Columbia, South Carolina, licensed in South Carolina (38794) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of Boston University School Of Medicine (2013).

NPPES Registry Identity

NPI1528403359
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARI-CLAUDIA M ALLENCredential: M.D.
Location Address3209 COLONIAL DRColumbia, SC 29203-6930
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateMarch 16, 20183 updates tracked since enumeration
NPI 1528403359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 38794
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MT203455 (PA)
3209 COLONIAL DR, Columbia, SC 29203

Accepted 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

Kari-claudia M Allen 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 ID9830411354
PECOS Enrollment IDI20180403000520
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 5

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.
95 services81 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$49.14 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers13 claims13 services$41.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Nurse Practitioner (Family)
3209 COLONIAL DR
COLUMBIA, SC 29203
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203
Psychologist (Cognitive & Behavioral)
3209 COLONIAL DR
COLUMBIA, SC 29203
Family Medicine
3209 COLONIAL DR
COLUMBIA, SC 29203

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 Kari-claudia Allen's NPI number?

The NPI number for Kari-claudia Allen is 1528403359. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Kari-claudia Allen located?

Kari-claudia Allen practices at 3209 Colonial Dr, Columbia, SC 29203. The listed phone number is (803) 434-6113.

What is Kari-claudia Allen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kari-claudia Allen enrolled in Medicare?

Yes. Kari-claudia Allen 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 Kari-claudia Allen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Kari-claudia Allen 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 Kari-claudia Allen affiliated with any hospitals?

According to CMS data, Kari-claudia Allen is affiliated with Prisma Health Richland Hospital.

When was this NPI record last updated?

The NPPES record for Kari-claudia Allen was last updated on March 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.