JOHN P. RISSING MD
NPI 1437269404
Internal Medicine - Infectious Disease in Augusta, GA
Quality Rating: 79.83 out of 100 score
NPI Status: Active since August 30, 2006
- Individual
- Male
- Internal Medicine
- Infectious Disease
- PECOS Enrolled
About JOHN RISSING
This page provides the complete NPI Profile along with additional information for John Rissing, an internist established in Augusta, Georgia with a medical specialization in Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1437269404 assigned on August 2006. The practitioner's primary taxonomy code is 207RI0200X with license number 018416 (GA). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1437269404
- Provider Name
- JOHN P. RISSING MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1120 15TH ST AUGUSTA, GA 30912
- Location Phone
- (706) 721-2236
- Mailing Address
- 1499 WALTON WAY STE 1400 AUGUSTA, GA 30901
- Mailing Phone
- (706) 828-8401
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-30-2006
- Last Update Date
- 10-29-2012
- Code Navigator
An internist like John Rissing is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 018416
- License State
- GA
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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 |
---|---|---|---|
000980504A | MEDICAID (05) | GA | |
D30626 | MEDICARE UPIN (02) | GA | |
G52392 | MEDICAID (05) | SC |
Medicare Participation & PECOS Enrollment Status
John Rissing 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
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Medical/Surgical Supplies (DA000N)
Tape, non-waterproof, per 18 square inches (HCPCS:A4450)
1 DME suppliers used 15 Medicare Claims 1400 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6216)
1 DME suppliers used 15 Medicare Claims 4000 Services Paid
DME-Medical/Surgical Supplies (DA023N)
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard (HCPCS:A6446)
1 DME suppliers used 12 Medicare Claims 1072 Services Paid
DME-Hospital Beds (DB000N)
Powered pressure-reducing air mattress (HCPCS:E0277)
2 DME suppliers used 15 Medicare Claims 15 Services Paid
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.
Established patient office or other outpatient visit, 10-19 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of skin and tissue, 20.0 sq cm or less
This 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 88 times for 25 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 17 times for 16 patientsThis procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
This service was performed 176 times for 36 patientsPhysician Visit Costs
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 30912 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.1
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $31.02
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.84
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $23.71
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* 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 79.83, 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.
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Final Score: 79.83 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: 87.53
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: 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: 55.64
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: 55.64
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.
Reviews for JOHN P. RISSING MD
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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 | 4 | 3 | 7 | 2 | 6 | 9 | 4 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 6 | 7 | 4 | 6 | 18 | 4 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 6 + 7 + 4 + 6 + 1 + 8 + 4 + 0 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1437269404 is valid because the calculated check digit 4 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 |
---|---|---|---|
1669476586 | TIMOTHY RICHARD KINSEY JR. M.D. Individual | Pediatrics | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-2191 |
1912902743 | DR. ANDREW THOMAS TAYLOR PHARM.D. Individual | Pharmacist | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-4915 |
1669479507 | DR. JANE KIMBLE KELLER PHARMD Individual | Pharmacist (Pharmacotherapy) | 1120 15TH ST DEPARTMENT OF PHARMACY AUGUSTA, GA 30912 (706) 721-4815 |
1205829249 | DR. JOHN R MARTELL JR. M.D. Individual | Orthopaedic Surgery | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-4666 |
1659364636 | JOHN GREENE SHEPHERD PHARM.D. Individual | Pharmacist | 1120 15TH ST CJ-1020 AUGUSTA, GA 30912 (706) 721-4250 |
1982694998 | DR. JOHN EDWARD HARTMANN M.D. Individual | Psychiatry & Neurology (Neurology) | 1120 15TH ST DEPARTMENT OF NEUROLOGY AUGUSTA, GA 30912 (706) 721-5988 |
1649261124 | MS. ELLEN ELIZABETH PARKER MS Individual | Genetic Counselor, MS | 1120 15TH ST BB7514 AUGUSTA, GA 30912 (706) 721-2828 |
1750365672 | GUILLERMO JOAQUIN PIERLUISI MD MPH Individual | Emergency Medicine (Emergency Medical Services) | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-4951 |
1447237714 | DR. CLARENCE ALVIN HEAD MD Individual | Anesthesiology | 1120 15TH ST ROOM 2144 AUGUSTA, GA 30912 (423) 424-3871 |
1053399360 | DR. FRANK DENNIS BISHOP II DMD Individual | Dentist (Endodontics) | 1120 15TH ST MCG DENTAL SCHOOL DEPTARTMENT OF ENDODONTICS AUGUSTA, GA 30912 (706) 721-2151 |
1407836349 | JAMES W HOLCOMB M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1120 15TH ST BIW-6033 AUGUSTA, GA 30912 (706) 721-2331 |
1225093065 | DR. EDWARD S. PORUBSKY M.D. Individual | Otolaryngology | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-4400 |
1437114725 | KENNA S. GIVEN M.D. Individual | Plastic Surgery | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-2198 |
1376509406 | LYNN A CROSBY MD Individual | Orthopaedic Surgery | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-2741 |
1013965383 | DR. JOHN WILLIAM WHITELEY MD Individual | Anesthesiology | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-3873 |
1639121858 | ELENA C. NICHITA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-3141 |
1770539710 | EUGENE J MURDOCK JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 1120 15TH ST RM 2144 AUGUSTA, GA 30912 (706) 721-3873 |
1285671461 | DR. MICHAEL SCOTT MACFEE M.D. Individual | Specialist | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-3591 |
1831138999 | GLORIA C YOUNG CRNA Individual | Nurse Anesthetist, Certified Registered | 1120 15TH ST RM 2144 AUGUSTA, GA 30912 (706) 721-3873 |
1174569305 | JEFFREY A. SWITZER M.D. Individual | Psychiatry & Neurology (Neurology) | 1120 15TH ST AUGUSTA, GA 30912 (706) 721-4581 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437269404, enumerated in the NPI registry as an "individual" on August 30, 2006
The provider is located at 1120 15th St Augusta, Ga 30912 and the phone number is (706) 721-2236
The provider's speciality is Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease
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.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
Medicare beneficiaries should expect a typical cost of $124.1 with an average copayment of $31.02 for new patient appointments. Established patients should expect a typical charge of $94.84 and an average copayment of 23.71. 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: Established patient office or other outpatient visit, 10-19 minutes, New patient office or other outpatient visit, 45-59 minutes and Removal of skin and tissue, 20.0 sq cm or less.
This NPI record was last updated on August 30, 2006. 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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