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DR. ANDRE L SCOTT M.D.
NPI 1033131396
Surgery in Lithonia, GA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
5910 HILLANDALE DR STE 209, LITHONIA, GA 30058(404) 294-0257 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Andre L Scott M.d. NPPES

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

DR. ANDRE L SCOTT M.D. (NPI 1033131396) is an individual surgery provider in Lithonia, Georgia, licensed in Georgia (051545) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Emory Hillandale Hospital, and is a graduate of Meharry Medical College School Of Medicine (1998).

NPPES Registry Identity

NPI1033131396
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ANDRE L SCOTTCredential: M.D.
Location Address5910 HILLANDALE DR STE 209Lithonia, GA 30058-1878
Mailing AddressPo Box 102294Atlanta, GA 30368-2294 · (404) 294-0257
Phone(404) 294-0257
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1998
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033131396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 051545
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5910 HILLANDALE DR STE 209, Lithonia, GA 30058
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Other Identifiers 1

Medicare UPINI16687GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andre L Scott M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779552591
PECOS Enrollment IDI20040929000113
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 Reassignments

2

Medicare enrollment records show Andre Scott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
12 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Emory Specialty Associates, LLC
69 mi
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group
NPI 1407864168 (404) 778-4888

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

HILLANDALE SURGICAL GROUP
Surgery
5910 HILLANDALE DR STE 209
LITHONIA, GA 30058
Dekalb County (404) 294-0257
ADVANCED LAPAROSCOPIC SURGICAL, LLC
Surgery
5910 HILLANDALE DR STE 209
LITHONIA, GA 30058
Dekalb County (404) 294-0257

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 Andre Scott's NPI number?

The NPI number for Andre Scott is 1033131396. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Andre Scott located?

Andre Scott practices at 5910 Hillandale Dr Ste 209, Lithonia, GA 30058. The listed phone number is (404) 294-0257.

What is Andre Scott's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andre Scott enrolled in Medicare?

Yes. Andre Scott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andre Scott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Scott reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each 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 Andre Scott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Scott accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Andre Scott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andre Scott affiliated with any hospitals?

According to CMS data, Andre Scott is affiliated with Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Andre Scott was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.