NATHAN ASH TERRELL PA-C
NPI 1083137640
Physician Assistant in Atlanta, GA
Quality Rating: 93.03 out of 100 score
NPI Status: Active since July 25, 2017
Contact Information
5671 PEACHTREE DUNWOODY RD STE 900
ATLANTA, GA
ZIP 30342
Phone: (404) 847-9999
Fax: (404) 531-8466
- Individual
- Male
- Years of Experience 9
- Physician Assistant
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About NATHAN TERRELL
This page provides the complete NPI Profile along with additional information for Nathan Terrell, a primary care provider established in Atlanta, Georgia with a medical specialization in Physician Assistant and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1083137640 assigned on July 2017. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1083137640
- Provider Name
- NATHAN ASH TERRELL PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342
- Location Phone
- (404) 847-9999
- Location Fax
- (404) 531-8466
- Mailing Address
- 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342
- Mailing Phone
- (404) 847-9999
- Mailing Fax
- (404) 531-8466
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2017
- Last Update Date
- 03-21-2018
- Code Navigator
A primary care provider (PCP) like Nathan Terrell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS Enrollment Status
Nathan Terrell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Nathan Terrell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2163779612
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20180716002069
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from large joint
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
X-ray for bone length assessment
X-ray of both hips, 3-4 views
X-ray of hip, 2-3 views
X-ray of joints, multiple
X-ray of knee, 3 views
X-ray of knee, 4 or more views
X-ray of pelvis, 1-2 views
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
This service was performed 778 times for 373 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 91 times for 88 patientsThis 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.
This service was performed 300 times for 280 patientsThis 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.
This service was performed 350 times for 315 patientsHyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
This service was performed 2,880 times for 31 patientsHyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
This service was performed 90 times for 24 patientsHyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
This service was performed 112 times for 15 patientsTrivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
This service was performed 1,575 times for 17 patientsTriamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
This service was performed 3,225 times for 266 patientsTriamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
This service was performed 1,856 times for 16 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 42 times for 42 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 58 times for 58 patientsAn X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.
This service was performed 20 times for 20 patientsAn X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.
This service was performed 37 times for 36 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 269 times for 241 patientsAn X-ray of multiple joints is a non-invasive imaging test that helps visualize the condition of your joints. This procedure uses a small amount of radiation to produce images of bones and joints, assisting in diagnosing conditions like arthritis or injury.
This service was performed 148 times for 138 patientsAn X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
This service was performed 192 times for 153 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 544 times for 390 patientsAn X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
This service was performed 25 times for 25 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.01 for a new patient copayment and $17.71 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30342 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.06
- Minimum New Patient Price $56.84
- Maximum New Patient Price $172.43
- Average New Patient Copayment $22.01
- Minimum New Patient Copayment $14.21
- Maximum New Patient Copayment $43.1
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.85
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $140.4
- Average Established Patient Copayment $17.71
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $35.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.03, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 93.03 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 78.25
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 0% | 496 |
| Closing the Referral Loop: Receipt of Specialist Report | 43% | 764 |
| Documentation of Current Medications in the Medical Record | 98% | 1716 |
| e-Prescribing | 100% | 408 |
| Falls: Screening for Future Fall Risk | 0% | 968 |
| Functional Status Assessment for Total Hip Replacement | 0% | 75 |
| Functional Status Assessment for Total Knee Replacement | 0% | 143 |
| Pneumococcal Vaccination Status for Older Adults | 1% | 924 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 13% | 1255 |
| Preventive Care and Screening: Influenza Immunization | 0% | 636 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 0% | 1681 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 813 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 0% | 813 |
| Provide Patients Electronic Access to Their Health Information | 83% | 636 |
| Use of High-Risk Medications in Older Adults | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 968 |
| Use of High-Risk Medications in Older Adults | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 968 |
| Use of High-Risk Medications in Older Adults | 1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 968 |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nathan Terrell is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC | 5665 PEACHTREE DUNWOODY ROAD ATLANTA, GA 30342 | (678) 843-5720 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 1 | 3 | 7 | 6 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 2 | 3 | 14 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 2 + 3 + 1 + 4 + 6 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1083137640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699221283 | RYAN LOYD ROBINSON ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (678) 464-1216 |
| 1588903249 | RYAN REYNOLDS VALDUGA NP Individual | Nurse Practitioner (Family) | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1790950269 | MR. SCOTT PHILLIP SIEGEL P.A.-C Individual | Physician Assistant | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1679838098 | MISS RACHEL JANE HEIDGERD CRNP Individual | Nurse Practitioner (Adult Health) | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1144713272 | SHELBY WARD DEVANEY PA-C Individual | Physician Assistant | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1184208316 | MISS ERIN E MARTIN PA Individual | Physician Assistant | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1003571746 | LAUREN HYLAND TILLERSON OTR/L Individual | Occupational Therapist | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 531-8590 |
| 1295862928 | RESURGENS, LLC Organization | Orthopaedic Surgery | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1134860729 | KARLEY GANN MARTIN ATC, OTC Individual | Specialist/Technologist (Athletic Trainer) | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 531-8539 |
| 1306296637 | NIMIT K. LAD M.D. Individual | Orthopaedic Surgery | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1457664724 | BARBARA SUE PEREZ HATTRICH PT Individual | Physical Therapist | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 531-8590 |
| 1639271331 | DR. MICHAEL K SCHAUFELE MD Individual | Physical Medicine & Rehabilitation | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1740991645 | LISA INEZ TAYLOR Individual | Registered Nurse (Orthopedic) | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 932-9333 |
| 1114623378 | QIUYUE KATERI ELIZABETH GOODWIN PA-C Individual | Physician Assistant | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1386697928 | RESURGENS, LLC Organization | Orthopaedic Surgery | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1912698259 | JANE JONES EDENS RN Individual | Registered Nurse | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1245088616 | JOHN WILLIAM GALLAGHER PT, DPT Individual | Physical Therapist (Orthopedic) | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1619513256 | ADELAIDE YATES BURTON BEELER AGACNP-BC Individual | Nurse Practitioner (Acute Care) | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1811610553 | MIKAELA M PERIBONIO AGNP-C Individual | Nurse Practitioner (Gerontology) | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
| 1417559865 | MARISSA M GANS PA-C Individual | Physician Assistant | 5671 PEACHTREE DUNWOODY RD STE 900 ATLANTA, GA 30342 (404) 847-9999 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083137640, enumerated in the NPI registry as an "individual" on July 25, 2017
The provider is located at 5671 Peachtree Dunwoody Rd Ste 900 Atlanta, Ga 30342 and the phone number is (404) 847-9999
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 9 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Documentation of Current Medications in the Medical Record, e-Prescribing, Provide Patients Electronic Access to Their Health Information , Use of High-Risk Medications in Older Adults. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
Medicare beneficiaries should expect a typical cost of $88.06 with an average copayment of $22.01 for new patient appointments. Established patients should expect a typical charge of $70.85 and an average copayment of 17.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose, Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose, Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, X-ray for bone length assessment, X-ray of both hips, 3-4 views, X-ray of hip, 2-3 views, X-ray of joints, multiple, X-ray of knee, 3 views, X-ray of knee, 4 or more views and X-ray of pelvis, 1-2 views.
The practitioner is affiliated to the following hospital(s): SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 25, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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