KARLENE MARIE DRUMMER M.D.
NPI 1891844635
Family Medicine in Lithonia, GU

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTER, LITHONIA, GU 30058(770) 322-3216(770) 554-0058 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Apr 13, 2022, Feb 21, 2018 and 1 more (4 updates tracked since 2017).

About Karlene Marie Drummer M.d. NPPES

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

KARLENE MARIE DRUMMER M.D. (NPI 1891844635) is an individual family medicine provider in Lithonia, Guam, licensed in Georgia (060561) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2005).

NPPES Registry Identity

NPI1891844635
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKARLENE MARIE DRUMMERCredential: M.D.
Location Address5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTERLithonia, GU 30058
Mailing Address5440 Hillandale DrLithonia, GA 30058-4865 · (404) 365-0966
Fax(770) 554-0058
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2005
Enumeration DateJanuary 10, 2007
Last NPPES UpdateNovember 17, 20254 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
NPI 1891844635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 060561
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.

Other Names 1

Former Name (1)Mrs. Karlene Marie Hart M.d

Other Identifiers 1

Medicaid792864163AGA

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

Karlene Marie Drummer 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 ID8921172446
PECOS Enrollment IDI20080801000121
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

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.
22 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GA 30058
Internal Medicine
5440 HILLANDALE DRIVE, INTERNAL MEDICINE HEALTH CARE TEAM B
LITHONIA, GA 30058
Pediatrics
5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL OFFICE
LITHONIA, GA 30058
Obstetrics & Gynecology
5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GA 30058
Internal Medicine
5440 HILLANDALE DRIVE, INTERNAL MEDICINE HEALTH CARE TEAM B
LITHONIA, GA 30058
Obstetrics & Gynecology
5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GA 30058
Internal Medicine
5440 HILLANDALE DRIVE, INTERNAL MEDICINE HEALTH CARE TEAM B
LITHONIA, GA 30058
Family Medicine
5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLLA MEDICINE CENTER
LITHONIA, GA 30058

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 Karlene Drummer's NPI number?

The NPI number for Karlene Drummer is 1891844635. It was assigned to this individual provider in the NPPES registry on January 10, 2007. The provider is also known as Mrs. Karlene Marie Hart M.D.

Where is Karlene Drummer located?

Karlene Drummer practices at 5440 Hillandale Drive Kaiser Permanente Panola Medical Center, Lithonia, GU 30058. The listed phone number is (770) 322-3216.

What is Karlene Drummer's specialty?

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

Is Karlene Drummer enrolled in Medicare?

Yes. Karlene Drummer 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.

When was this NPI record last updated?

The NPPES record for Karlene Drummer was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.