Karen Sumers, M.D.
NPI 1265599195 · Ophthalmology Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Sumers, M.D. is a Ophthalmology Physician provider in Atlanta, GA (NPI 1265599195).
Provider details
- NPI number
- 1265599195
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 21600 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
494 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Closure of Tear Duct Opening Using Plug68761 | 140 | $121 |
| Established Patient Complete Exam of Visual System92014 | 121 | $125 |
| Established Patient Problem Focused Exam of Visual System92012 | 100 | $89 |
| Imaging of Retina92134 | 74 | $40 |
| Imaging of Optic Nerve92133 | 21 | $36 |
| New Patient Complete Exam of Visual System92004 | 19 | $149 |
| Exam of Visual Field With Extended Testing92083 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Cyclosporine | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$92 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Karen Sumers's NPI number?
- Karen Sumers's National Provider Identifier (NPI) is 1265599195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Sumers's specialty?
- Karen Sumers is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Sumers located?
- Karen Sumers's practice location on file with NPPES is 3280 Howell Mill Rd Nw, Atlanta, GA 30327-4107.
- What is Karen Sumers's phone number?
- The practice phone number listed in the NPPES registry for Karen Sumers is (404) 355-5555.
- Does Karen Sumers accept Medicare?
- Karen Sumers is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Sumers's NPI active?
- Yes — Karen Sumers's NPI (1265599195) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.