DR. CECIL G PINHOLSTER M.D.
NPI 1063490415
Emergency Medicine in Athens, GA

Active since January 05, 2006PECOS Enrolled
485 HIGHWAY 29 N, ATHENS, GA 30601(706) 353-6000 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Cecil G Pinholster M.d. NPPES

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

DR. CECIL G PINHOLSTER M.D. (NPI 1063490415) is an individual emergency medicine provider in Athens, Georgia, licensed in Georgia (27631) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063490415
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CECIL G PINHOLSTERCredential: M.D.
Location Address485 HIGHWAY 29 NAthens, GA 30601-5583
Mailing Address2727 Paces Ferry Road, Suite 1-1100 (attention Denise)Atlanta, GA 30339 · (470) 271-3421
Sole ProprietorNo
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJune 12, 2018
NPI 1063490415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 27631
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

485 HIGHWAY 29 N, Athens, GA 30601

Other Identifiers 1

Medicaid000320933EGA

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 (PECOS)

Dr. Cecil G Pinholster 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 30601 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
2%142 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%128 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
6%142 patients1/55-star benchmark: 100%
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%202 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
8%76 patients1/55-star benchmark: 98%
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 9

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

Preventive Medicine (Occupational Medicine)
485 HIGHWAY 29 N
ATHENS, GA 30601
Nurse Practitioner
485 HIGHWAY 29 N
ATHENS, GA 30601
Internal Medicine
485 HIGHWAY 29 N
ATHENS, GA 30601
Non-Pharmacy Dispensing Site
485 HIGHWAY 29 N
ATHENS, GA 30601
Family Medicine
485 HIGHWAY 29 N
ATHENS, GA 30601
Family Medicine
485 HIGHWAY 29 N
ATHENS, GA 30601
Clinic/Center (Urgent Care)
485 HIGHWAY 29 N
ATHENS, GA 30601
Emergency Medicine
485 HIGHWAY 29 N
ATHENS, GA 30601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063490415, enumerated as an "individual" on January 05, 2006.

The provider is located at 485 HIGHWAY 29 N ATHENS, GA 30601 and the phone number is (706) 353-6000.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.