DR. SANJAY M LALL M.D.
NPI 1699779488
Internal Medicine - Cardiovascular Disease in Gainesville, GA
Quality Rating: 90.27 out of 100 score
NPI Status: Active since June 09, 2005
Contact Information
200 S ENOTA DR NE STE 100
GAINESVILLE, GA
ZIP 30501
Phone: (770) 534-2020
- Individual
- Male
- Years of Experience 29
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About SANJAY LALL
This page provides the complete NPI Profile along with additional information for Sanjay Lall, an internist established in Gainesville, Georgia with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 29 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1997. The healthcare provider is registered in the NPI registry with number 1699779488 assigned on June 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 057878 (GA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1699779488
- Provider Name
- DR. SANJAY M LALL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501
- Location Phone
- (770) 534-2020
- Mailing Address
- PO BOX 742616 ATLANTA, GA 30374
- Mailing Phone
- (770) 219-8420
- Medical School Name
- CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2005
- Last Update Date
- 10-18-2023
- Code Navigator
An internist like Sanjay Lall 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 Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 057878
- License State
- GA
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sanjay Lall 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.
Sanjay Lall 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: 5991754657
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: I20060801000294
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.
Blood test, clotting time
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
Follow-up hospital inpatient care per day, typically 35 minutes
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days
Injection, regadenoson, 0.1 mg
Insertion of needle into vein for collection of blood sample
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Nuclear medicine studies of heart muscle at rest and with stress and spect
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Technetium tc-99m tetrofosmin, diagnostic, per study dose
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
This service was performed 76 times for 12 patientsAn Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.
This service was performed 14 times for 14 patientsAn Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.
This service was performed 12 times for 12 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 539 times for 366 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 76 times for 70 patientsAn exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
This service was performed 89 times for 87 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 44 times for 28 patientsThis procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
This service was performed 17 times for 17 patientsA heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
This service was performed 45 times for 45 patientsRegadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
This service was performed 216 times for 54 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 175 times for 117 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 43 times for 43 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 13 times for 13 patientsNuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
This service was performed 77 times for 77 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 446 times for 360 patientsTechnetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
This service was performed 156 times for 78 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 167 times for 166 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.02 for a new patient copayment and $16.72 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 30501 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 99213
- Average Established Patient Price $66.89
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $16.72
- 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 90.27, 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: 90.27 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: 80.54
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.
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 |
|---|---|---|
| Care Plan | 5% | 489 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 21% | 24 |
| Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented | ||
| Colorectal Cancer Screening | 8% | 299 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Pneumococcal Vaccination Status for Older Adults | 18% | 491 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 27% | 522 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Screening for Osteoporosis for Women Aged 65-85 Years of Age | 7% | 216 |
| Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis | ||
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. Sanjay Lall is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NORTHEAST GEORGIA MEDICAL CENTER, INC | 743 SPRING STREET GAINESVILLE, GA 30501 | (770) 535-3553 | Acute Care Hospitals | |
| STEPHENS COUNTY HOSPITAL | 163 HOSPITAL DRIVE TOCCOA, GA 30577 | (706) 282-4250 | Acute Care Hospitals | |
| UNION GENERAL HOSPITAL | 35 HOSPITAL ROAD BLAIRSVILLE, GA 30512 | (706) 745-2111 | Acute Care Hospitals | |
| NORTHSIDE HOSPITAL | 1000 JOHNSON FERRY ROAD, NE ATLANTA, GA 30342 | (404) 851-8000 | Acute Care Hospitals | |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN | 495 HIGHWAY 400 NORTH DAHLONEGA, GA 30533 | (770) 219-7146 | 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 | 6 | 9 | 9 | 7 | 7 | 9 | 4 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 7 | 18 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 7 + 1 + 8 + 4 + 1 + 6 + 24 = 82 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 82 = 8 | 8 | ||||||||
The NPI number 1699779488 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1528047149 | DR. MITCHELL GORDON DAVIS MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1619956307 | DR. JAY HILLEL JOSEPH MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1861443657 | ELIA G ABBOUD MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1700838380 | DR. LALITHA C MEDEPALLI MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1538113394 | DR. TIMOTHY A SCULLY MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1699729327 | DR. GARY M MINKIEWICZ MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1578727038 | DR. IOANNIS PARASTATIDIS M.D., PH.D. Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1043631096 | HEATHER MICHELLE TILLERY FNP Individual | Nurse Practitioner (Family) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1801288337 | RACHEL E LEBOLO AGPCNP Individual | Nurse Practitioner (Gerontology) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1558687384 | DR. UGOCHUKWU ONYIBO EGOLUM MD Individual | Internal Medicine (Advanced Heart Failure and Transplant Cardiology) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1679572069 | SUDHAKARA BABU CHENNAREDDY MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1336191402 | DR. ABHISHEK GAUR MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1851721161 | MRS. ELIZABETH ILLING FNP Individual | Nurse Practitioner (Family) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1740431295 | MRS. SANTHI ADIGOPULA MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1386872729 | DR. VEDANG J BHAVSAR MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1992715502 | DR. ALISON L BAILEY MD Individual | Internal Medicine (Advanced Heart Failure and Transplant Cardiology) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1326042052 | JAIME BURKLE MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1356896724 | EMMANUEL OLAYIWOLA AMORAN MD Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1558821652 | DR. ALEX MATTHEW ADAMS DO Individual | Internal Medicine (Cardiovascular Disease) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
| 1609155969 | DR. GIANCARLO ACOSTA M.D. Individual | Internal Medicine (Advanced Heart Failure and Transplant Cardiology) | 200 S ENOTA DR NE STE 100 GAINESVILLE, GA 30501 (770) 534-2020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699779488, enumerated in the NPI registry as an "individual" on June 09, 2005
The provider is located at 200 S Enota Dr Ne Ste 100 Gainesville, Ga 30501 and the phone number is (770) 534-2020
The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider has more than 29 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1997.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. 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 , uses technology to exchange and make use of healthcare information.
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 $66.89 and an average copayment of 16.72. 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: Blood test, clotting time, Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional, Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician, Follow-up hospital inpatient care per day, typically 35 minutes, Heart rhythm recording continous external ekg over more than 48 hours up to 7 days, Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days, Injection, regadenoson, 0.1 mg, Insertion of needle into vein for collection of blood sample, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Nuclear medicine studies of heart muscle at rest and with stress and spect, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report, Technetium tc-99m tetrofosmin, diagnostic, per study dose and Ultrasound of heart with color-depicted blood flow, rate, direction and valve function.
The practitioner is affiliated to the following hospital(s): NORTHEAST GEORGIA MEDICAL CENTER, INC, STEPHENS COUNTY HOSPITAL, UNION GENERAL HOSPITAL, NORTHSIDE HOSPITAL and NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN. 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 09, 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].
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