DR. PAUL EMMET MCMANUS M.D.
NPI 1053312959
Ophthalmology in Decatur, GA

Q: What is Paul Mcmanus's NPI number?

The NPI number for Paul Mcmanus is 1053312959. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Paul Mcmanus's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Mcmanus was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 02, 2005PECOS Enrolled

92.26/100

CMS Quality Rating

1457 SCOTT BLVD, DECATUR, GA 30030(404) 292-2500(404) 294-9361 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Paul Emmet Mcmanus M.d. NPPES

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

DR. PAUL EMMET MCMANUS M.D. (NPI 1053312959) is an individual ophthalmology provider in Decatur, Georgia, licensed in Georgia (030822) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053312959

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. PAUL EMMET MCMANUSCredential: M.D.

Location Address1457 SCOTT BLVDDecatur, GA 30030

Mailing AddressPo Box 1798Decatur, GA 30031-1798 · (404) 292-2500 · Fax (404) 294-9361

Phone(404) 292-2500

Fax(404) 294-9361

Sole ProprietorNo

Enumeration DateAugust 2, 2005

Last NPPES UpdateAugust 13, 2018

✔ NPI 1053312959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in GA · 030822

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 030822 (GA)

1457 SCOTT BLVD, Decatur, GA 30030

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Other Identifiers 1

Medicaid00371533CGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Emmet Mcmanus 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%51 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 11

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

DR. CHRISTINA LOPRESTO WEEKS M.D.

Ophthalmology