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DR. MICHAEL JOHN PICKFORD M.D.
NPI 1013915586
Otolaryngology in Duluth, GA

Active since July 08, 2005PECOS Enrolled
61.67/100
CMS Quality Rating
3855 PLEASANT HILL RD, SUITE 280, DULUTH, GA 30096(678) 312-7390(678) 312-7399 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2021, Oct 13, 2020 (2 updates tracked since 2020).

About Dr. Michael John Pickford M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JOHN PICKFORD M.D. (NPI 1013915586) is an individual otolaryngology provider in Duluth, Georgia, licensed in Georgia (024063) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013915586
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MICHAEL JOHN PICKFORDCredential: M.D.
Location Address3855 PLEASANT HILL RD, SUITE 280Duluth, GA 30096-1407
Mailing Address3855 Pleasant Hill Rd Ste 280Duluth, GA 30096-8093 · (678) 312-7390 · Fax (678) 312-7399
Phone(678) 312-7390
Fax(678) 312-7399
Sole ProprietorNo
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1013915586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 024063
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 024063 (GA)
3855 PLEASANT HILL RD, Duluth, GA 30096
Open in Google Maps ↗

Other Identifiers 5

Other2234680GA · Cigna
Other2552774GA · Aetna
Other52280401GA · Bcbs Of Georgia
Other5997GA · Kaiser Permanente
OtherO40016072GA · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael John Pickford M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Pickford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gwinnett Physician Group, LLC
8.7 mi
Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
NPI 1578574661 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.4
Improvement Activities40
Cost66.83

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
43%58 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
79%832 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
10%124 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 47% · 340 patients
44%340 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
67%27 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 131 patients
Patients totalRate: 1% · 131 patients
0%131 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA L CRAWFORD PA
Physician Assistant (Medical)
3855 PLEASANT HILL RD, SUITE 420
DULUTH, GA 30096
Gwinnett County (770) 495-1955
OLUSEUN AFOLABI OLUFADE MD
Physical Medicine & Rehabilitation
3855 PLEASANT HILL RD, SUITE 470
DULUTH, GA 30096
Gwinnett County (770) 813-8888
KARISHMA PANKAJ PATEL PA-C
Physician Assistant
3855 PLEASANT HILL RD
DULUTH, GA 30096
Gwinnett County (770) 495-1955
CHA OB/GYN
Obstetrics & Gynecology
3855 PLEASANT HILL RD, SUITE 270
DULUTH, GA 30096
Gwinnett County (937) 216-5707
DAMAR ANTWAN LEWIS AGACNP-BC
Nurse Practitioner (Acute Care)
3855 PLEASANT HILL RD
DULUTH, GA 30096
Gwinnett County (678) 312-1000
MARK MAJOCH M.D.
Family Medicine
3855 PLEASANT HILL RD, STE 100
DULUTH, GA 30096
Gwinnett County (770) 495-0155
DR. R. MORGAN DAVOUDI M.D.
Plastic Surgery
3855 PLEASANT HILL RD, SUITE 300
DULUTH, GA 30096
Gwinnett County (770) 418-1234
GEORGIA EYE PHYSICIANS AND SURGEONS PC
Ophthalmology
3855 PLEASANT HILL RD, STE 170
DULUTH, GA 30096
Gwinnett County (678) 584-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Pickford's NPI number?

The NPI number for Michael Pickford is 1013915586. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Michael Pickford located?

Michael Pickford practices at 3855 Pleasant Hill Rd Suite 280, Duluth, GA 30096. The listed phone number is (678) 312-7390.

What is Michael Pickford's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Pickford enrolled in Medicare?

Yes. Michael Pickford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Pickford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pickford reassigns Medicare benefits to Gwinnett Physician Group, LLC (Lawrenceville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Pickford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Pickford was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.