DONALD L SEARS M.D.
NPI 1255336822
Pathology - Anatomic Pathology & Clinical Pathology in Atlanta, GA


Quality Rating: 90.97 out of 100 score

NPI Status: Active since June 20, 2005

Contact Information

3300 BUCKEYE RD
STE 178
ATLANTA, GA
ZIP 30341
Phone: (770) 458-6103
Fax: (770) 234-0437

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  • Individual
  • Male
  • Years of Experience 46
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About DONALD SEARS

This page provides the complete NPI Profile along with additional information for Donald Sears, a provider established in Atlanta, Georgia with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 46 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 1980. The healthcare provider is registered in the NPI registry with number 1255336822 assigned on June 2005. The practitioner's primary taxonomy code is 207ZP0102X with license number 027660 (GA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1255336822
Provider Name
DONALD L SEARS M.D.
Gender
Male
Entity Type
Individual
Location Address
3300 BUCKEYE RD STE 178 ATLANTA, GA 30341
Location Phone
(770) 458-6103
Location Fax
(770) 234-0437
Mailing Address
PO BOX 720298 ATLANTA, GA 30358
Mailing Phone
(404) 252-1968
Mailing Fax
(770) 234-0437
Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year
1980
Is Sole Proprietor?
No
Enumeration Date
06-20-2005
Last Update Date
11-18-2016
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
027660
License State
GA
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1255336822OTHER (01)GANPI
E99244MEDICARE UPIN (02)GA 
00311275AMEDICAID (05)GA 

Medicare Participation & PECOS Enrollment Status

Donald Sears 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.

Donald Sears 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: 5193751089

    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: I20101105000266

    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.

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 67 times for 46 patients

Evaluation of fine needle aspirate with interpretation and report

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

This service was performed 35 times for 25 patients

Pathology examination of specimen during surgery, first tissue block

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

This service was performed 22 times for 12 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 225 times for 146 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 60 times for 42 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 18 times for 18 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 25 times for 23 patients

Special stained specimen slides to examine tissue including interpretation and report

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

This service was performed 54 times for 37 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 470 times for 87 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 125 times for 105 patients

Special stained specimen slides to identify organisms including interpretation and report

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

This service was performed 23 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.66 for a new patient copayment and $25.05 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 30341 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.64
  • Minimum New Patient Price $56.84
  • Maximum New Patient Price $172.43
  • Average New Patient Copayment $32.66
  • 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 99214

  • Average Established Patient Price $100.2
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $140.4
  • Average Established Patient Copayment $25.05
  • 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 90.97, 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 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.

  • Final Score: 90.97 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.

  • Quality Score: 77.1

    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.

  • Promoting Interoperability Score: N/A

    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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Leadership engagement in regular guidance and demonstrated commitment for implementing practice improvement changesYesN/A
Ensure full engagement of clinical and administrative leadership in practice improvement that could include one or more of the following: Make responsibility for guidance of practice change a component of clinical and administrative leadership roles; Allocate time for clinical and administrative leadership for practice improvement efforts, including participation in regular team meetings; and/or Incorporate population health, quality and patient experience metrics in regular reviews of practice performance.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Practice Improvements for Bilateral Exchange of Patient InformationYesN/A
Ensure that there is bilateral exchange of necessary patient information to guide patient care, such as Open Notes, that could include one or more of the following: • Participate in a Health Information Exchange if available; and/or • Use structured referral notes.
Provide Education Opportunities for New CliniciansYesN/A
MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas.

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. Donald Sears is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC5665 PEACHTREE DUNWOODY ROAD
ATLANTA, GA 30342
(678) 843-5720Acute 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.
1255336822
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105631284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 3 + 1 + 2 + 8 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1255336822 is valid because the calculated check digit 2 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
1962407643 MYUNG YONG CHANG M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1508861295 AMANDA T DAVIS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1306841143 JAMES C BOOTLE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1912902776 KATHLEEN R BATES M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1497750186 JOHN F KOEPKE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1669477352 LUCIA M LEE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1922003771 PAUL F ATKINSON M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1336144906 RENE A TAPIA M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1598760118 ALEXANDER T PARKINSON M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1891790465 KEITH DEREK MANNES M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1083619662 STEPHEN J WELLS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1346245925 UTE WROTNOWSKI M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1104823301 HYUNSOO JEWEL CHANG M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD SUITE178
ATLANTA, GA 30341
(770) 458-6103
1447252150 JULIE BAIRD LOTT M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1700875937 CHRISTINA LOHMANN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD SUITE 178
ATLANTA, GA 30341
(770) 458-6103
1205017043PEAK DEVELOPMENT GROUP, INC.
Organization
Psychologist (Clinical Child & Adolescent)3300 BUCKEYE RD SUITE 307
ATLANTA, GA 30341
(404) 992-5125
1346473188 NECA C SMITH LPC
Individual
Counselor (Professional)3300 BUCKEYE RD SUITE 677
ATLANTA, GA 30341
(404) 537-1821
1184672230 SHOBHA SHARMA M.D.
Individual
Pathology (Anatomic Pathology)3300 BUCKEYE RD SUITE 178
ATLANTA, GA 30341
(770) 458-6103
1417952086 JOSEF F VENABLE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3300 BUCKEYE RD STE 178
ATLANTA, GA 30341
(770) 458-6103
1821237082DR. REMMI SANT-KAUR SINGH MD
Individual
Pathology (Anatomic Pathology)3300 BUCKEYE RD SUITE 178
ATLANTA, GA 30341
(770) 458-6103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255336822, enumerated in the NPI registry as an "individual" on June 20, 2005

The provider is located at 3300 Buckeye Rd Ste 178 Atlanta, Ga 30341 and the phone number is (770) 458-6103

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider has more than 46 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 1980.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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.

Medicare beneficiaries should expect a typical cost of $130.64 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. 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: Cell examination of specimen, selective cellular enhancement technique, Evaluation of fine needle aspirate with interpretation and report, Pathology examination of specimen during surgery, first tissue block, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately low complexity, Preparation of tissue for examination by removing any calcium present, Special stained specimen slides to examine tissue including interpretation and report, Special stained specimen slides to examine tissue, each additional procedure, Special stained specimen slides to examine tissue, initial procedure and Special stained specimen slides to identify organisms including interpretation and report.

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 June 20, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.