EZEQUIEL HERNAN CASSINELLI M.D.
NPI 1033144241
Orthopaedic Surgery in Atlanta, GA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
78.14/100
CMS Quality Rating
5505 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342(404) 355-0743(404) 943-0641 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ezequiel Hernan Cassinelli M.d. NPPES

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

EZEQUIEL HERNAN CASSINELLI M.D. (NPI 1033144241) is an individual orthopaedic surgery provider in Atlanta, Georgia, licensed in Georgia (059053) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of University Of Texas Medical School At Houston (1998).

NPPES Registry Identity

NPI1033144241
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameEZEQUIEL HERNAN CASSINELLICredential: M.D.
Location Address5505 PEACHTREE DUNWOODY RD NE, SUITE 600Atlanta, GA 30342-1705
Mailing Address2001 Peachtree Rd Ne, Suite 705Atlanta, GA 30309-1476 · (404) 355-0743 · Fax (404) 355-2136
Fax(404) 943-0641
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1998
Enumeration DateJuly 12, 2006
Last NPPES UpdateOctober 22, 2010
NPI 1033144241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 059053
Definition

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.

5505 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342

Other Identifiers 11

Medicare PINCA4166336
Other7848618Aetna
Other000000503683Anthem
Other0486290001Dme
Medicare ID-Type UnspecifiedCA4166335OH
OtherP00242139OH · Railroad Medicare
Medicare UPINH81499
Medicaid2409521OH
Medicare PINRRBCB4505
Other203287Unison
OtherP00364266Mcr Rr

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ezequiel Hernan Cassinelli 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 ID8123003589
PECOS Enrollment IDI20071004000199
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
75 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
74 services63 patients
X-ray lower and sacral spine, 2-3 views bending views 72120
This procedure involves taking X-ray images of your lower and sacral spine in 2-3 different angles while you bend. It helps in assessing spinal flexibility and identifying any abnormalities or injuries. It's safe, quick, and usually painless.
41 services41 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
29 services28 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
20 services20 patients
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 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

78.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.13
Promoting Interoperability99
Improvement Activities40
Cost67.84

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,495 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%1,959 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
75%440 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%762 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
71%1,913 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
25%1,608 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 525 patients
88%525 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%1,912 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%1,912 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
51%1,912 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
2 suppliers11 claims11 services$3,773.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
5505 PEACHTREE DUNWOODY RD NE, SUITE 500
ATLANTA, GA 30342
Massage Therapist
5505 PEACHTREE DUNWOODY RD NE, 250
ATLANTA, GA 30342
Internal Medicine
5505 PEACHTREE DUNWOODY RD NE, SUITE 650
ATLANTA, GA 30342
Obstetrics & Gynecology (Obstetrics)
5505 PEACHTREE DUNWOODY RD NE, SUITE 580
ATLANTA, GA 30342
Optometrist
5505 PEACHTREE DUNWOODY RD NE, STE 300
ATLANTA, GA 30342
Podiatrist
5505 PEACHTREE DUNWOODY RD NE, SUITE 420
ATLANTA, GA 30342
Specialist (Research Study)
5505 PEACHTREE DUNWOODY RD NE, SUITE 650
ATLANTA, GA 30342
Clinic/Center (Ambulatory Surgical)
5505 PEACHTREE DUNWOODY RD NE, SUITE 150
ATLANTA, GA 30342

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 Ezequiel Cassinelli's NPI number?

The NPI number for Ezequiel Cassinelli is 1033144241. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Ezequiel Cassinelli located?

Ezequiel Cassinelli practices at 5505 Peachtree Dunwoody Rd NE Suite 600, Atlanta, GA 30342. The listed phone number is (404) 355-0743.

What is Ezequiel Cassinelli's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ezequiel Cassinelli enrolled in Medicare?

Yes. Ezequiel Cassinelli 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.

What insurance does Ezequiel Cassinelli accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ezequiel Cassinelli 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 Ezequiel Cassinelli affiliated with any hospitals?

According to CMS data, Ezequiel Cassinelli is affiliated with Wellstar Kennestone Regional Medical Center, Piedmont Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ezequiel Cassinelli was last updated on October 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.