DR. JEFFREY J ALBERT M.D.
NPI 1881680460
Orthopaedic Surgery in Roswell, GA
Quality Rating: 93.03 out of 100 score
NPI Status: Active since September 20, 2005
Contact Information
1285 HEMBREE RD
SUITE 200-A
ROSWELL, GA
ZIP 30076
Phone: (770) 475-2710
Fax: (770) 360-0498
- Individual
- Male
- Years of Experience 38
- Orthopaedic Surgery
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JEFFREY ALBERT
This page provides the complete NPI Profile along with additional information for Jeffrey Albert, a provider established in Roswell, Georgia with a medical specialization in Orthopaedic Surgery and more than 38 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 1988. The healthcare provider is registered in the NPI registry with number 1881680460 assigned on September 2005. The practitioner's primary taxonomy code is 207X00000X with license number 039030 (GA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1881680460
- Provider Name
- DR. JEFFREY J ALBERT M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076
- Location Phone
- (770) 475-2710
- Location Fax
- (770) 360-0498
- Mailing Address
- 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076
- Mailing Phone
- (770) 475-2710
- Mailing Fax
- (770) 360-0498
- Medical School Name
- JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
- Graduation Year
- 1988
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2005
- Last Update Date
- 03-27-2008
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 039030
- License State
- GA
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 |
|---|---|---|---|
| 20BBDPZ | MEDICARE PIN (08) | GA | |
| F51051 | MEDICARE UPIN (02) | GA |
Medicare Participation & PECOS Enrollment Status
Jeffrey Albert 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.
Jeffrey Albert 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: 5193884799
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: I20081112000221
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, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection, methylprednisolone acetate, 40 mg
Injection, methylprednisolone acetate, 80 mg
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
Mri scan of arm joint without contrast
Mri scan of leg joint without contrast
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of knee cartilage using an endoscope
Replacement of knee joint, both sides of knee
Upper limb (arm) arthroscopy (minimally invasive joint repair)
X-ray of elbow, minimum of 3 views
X-ray of knee, 1-2 views
X-ray of knee, 3 views
X-ray of knee, 4 or more views
X-ray of shoulder, minimum of 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 242 times for 204 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 460 times for 305 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 228 times for 195 patientsMethylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
This service was performed 193 times for 173 patientsMethylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
This service was performed 33 times for 30 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 42 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 25 patientsAn MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 25 times for 23 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 40 times for 39 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 83 times for 83 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 60 times for 60 patientsThis procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.
This service was performed 14 times for 14 patientsA bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 19 times for 18 patientsUpper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.
This service was performed for 30 patientsAn elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.
This service was performed 22 times for 20 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 26 times for 21 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 111 times for 97 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 80 times for 69 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 153 times for 119 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 30076 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 |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 61% | 1403 |
| Documentation of Current Medications in the Medical Record | 89% | 4926 |
| e-Prescribing | 83% | 3994 |
| Falls: Screening for Future Fall Risk | 0% | 896 |
| Functional Status Assessment for Total Knee Replacement | 0% | 28 |
| Pneumococcal Vaccination Status for Older Adults | 3% | 830 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 23% | 2577 |
| Preventive Care and Screening: Influenza Immunization | 1% | 1141 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 0% | 4592 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 6% | 1715 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 6% | 1715 |
| Provide Patients Electronic Access to Their Health Information | 80% | 2799 |
| 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. | 896 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 895 |
| 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. | 896 |
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. Jeffrey Albert is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NORTHSIDE HOSPITAL | 1000 JOHNSON FERRY ROAD, NE ATLANTA, GA 30342 | (404) 851-8000 | Acute Care Hospitals | |
| WELLSTAR NORTH FULTON HOSPITAL | 3000 HOSPITAL BOULEVARD ROSWELL, GA 30076 | (770) 751-2500 | 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 | 8 | 8 | 1 | 6 | 8 | 0 | 4 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 12 | 8 | 0 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 1 + 2 + 8 + 0 + 4 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1881680460 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 |
|---|---|---|---|
| 1053317917 | LAURA M. ZUCKER M.D. Individual | Pediatrics (Adolescent Medicine) | 1285 HEMBREE RD ROSWELL, GA 30076 (770) 442-1050 |
| 1386640241 | GERALD H. CLARK M.D. Individual | Pediatrics (Adolescent Medicine) | 1285 HEMBREE RD STE 100 ROSWELL, GA 30076 (770) 442-1050 |
| 1720084684 | RICHARD A. LEVITT M.D. Individual | Pediatrics (Adolescent Medicine) | 1285 HEMBREE RD STE 100 ROSWELL, GA 30076 (770) 442-1050 |
| 1073519930 | JODI M. GREENWALD M.D. Individual | Pediatrics (Adolescent Medicine) | 1285 HEMBREE RD STE 100 ROSWELL, GA 30076 (770) 442-1050 |
| 1174518849 | DR. HERSCHEL I BEKER M.D. Individual | Orthopaedic Surgery | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1568458545 | DR. RONALD A HALL M.D. Individual | Orthopaedic Surgery | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1275520835 | DR. EDWARD H. HOLLIGER M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1467449801 | DR. MARK S. MCBRIDE M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1629065909 | DR. GLENN D. LANE M.D. Individual | Orthopaedic Surgery | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1417944273 | DR. RUSSELL L. SABRIN M.D. Individual | Orthopaedic Surgery | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1124016910 | DR. JASON A. SCHNEIDER M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1548258353 | DR. DAVID G. SCOTT M.D. Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1619942737 | SCOTT T. BECKER PA Individual | Physician Assistant (Medical) | 1285 HEMBREE RD SUITE 200-A ROSWELL, GA 30076 (770) 475-2710 |
| 1881661262 | DEBORAH A. JOHNSTON OT Individual | Occupational Therapist | 1285 HEMBREE RD SUITE 200D ROSWELL, GA 30076 (770) 772-5540 |
| 1538122510 | LUZ ANGELA AYALDE PT Individual | Physical Therapist | 1285 HEMBREE RD SUITE 200-D ROSWELL, GA 30076 (770) 772-5540 |
| 1245293976 | KIMBERLEY A. MAHONEY PT Individual | Physical Therapist (Orthopedic) | 1285 HEMBREE RD SUITE 200-D ROSWELL, GA 30076 (770) 772-5540 |
| 1720042450 | PATRICK C. TANNER AT-C Individual | Specialist/Technologist (Athletic Trainer) | 1285 HEMBREE RD SUITE 200-D ROSWELL, GA 30076 (770) 772-5540 |
| 1043253107 | RICHARD MARTIN SZABO M.D. Individual | Pediatrics | 1285 HEMBREE RD SUITE 100 ROSWELL, GA 30076 (770) 442-1050 |
| 1962593780 | MRS. PATRICIA ANN MUSTO P.N.P. Individual | Registered Nurse (Pediatrics) | 1285 HEMBREE RD SUITE 100 ROSWELL, GA 30076 (770) 442-1050 |
| 1619050721 | CATHY S. MAYVILLE PT Individual | Physical Therapist | 1285 HEMBREE RD SUITE 200D ROSWELL, GA 30076 (770) 772-5540 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881680460, enumerated in the NPI registry as an "individual" on September 20, 2005
The provider is located at 1285 Hembree Rd Suite 200-a Roswell, Ga 30076 and the phone number is (770) 475-2710
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider has more than 38 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 1988.
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: 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, 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, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Injection, methylprednisolone acetate, 40 mg, Injection, methylprednisolone acetate, 80 mg, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair), Mri scan of arm joint without contrast, Mri scan of leg joint without contrast, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of knee cartilage using an endoscope, Replacement of knee joint, both sides of knee, Upper limb (arm) arthroscopy (minimally invasive joint repair), X-ray of elbow, minimum of 3 views, X-ray of knee, 1-2 views, X-ray of knee, 3 views, X-ray of knee, 4 or more views and X-ray of shoulder, minimum of 2 views.
The practitioner is affiliated to the following hospital(s): NORTHSIDE HOSPITAL and WELLSTAR NORTH FULTON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 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].
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