DR. NEIL EDGERTON M.D.
NPI 1063695773
Pathology - Anatomic Pathology & Clinical Pathology in Conyers, GA

Active since December 17, 2007PECOS Enrolled
83/100
CMS Quality Rating
1412 MILSTEAD AVE NE, CONYERS, GA 30012(770) 918-3905 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Neil Edgerton M.d. NPPES

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

DR. NEIL EDGERTON M.D. (NPI 1063695773) is an individual anatomic pathology & clinical pathology provider in Conyers, Georgia, licensed in Georgia (64367) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2006).

NPPES Registry Identity

NPI1063695773
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. NEIL EDGERTONCredential: M.D.
Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877
Mailing Address1412 Milstead Ave NeConyers, GA 30012-3877 · (770) 918-3905
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateDecember 17, 2007
Last NPPES UpdateSeptember 26, 2016
NPI 1063695773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in GA · 64367
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 64367 (GA)
1412 MILSTEAD AVE NE, Conyers, GA 30012

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. Neil Edgerton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810174141
PECOS Enrollment IDI20110614000020
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
463 services251 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
200 services49 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
74 services66 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
64 services46 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
55 services51 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
50 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
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 30012 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

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.

Home Health
1412 MILSTEAD AVE NE
CONYERS, GA 30012
General Acute Care Hospital
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Physician Assistant (Medical)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Respiratory Therapist, Registered
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Emergency Medicine (Undersea and Hyperbaric Medicine)
1412 MILSTEAD AVE NE, ROCKDALE MEDICAL CENTER
CONYERS, GA 30012
Emergency Medicine
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Surgery
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Registered Nurse (Maternal Newborn)
1412 MILSTEAD AVE NE, COMMUNITY EDUCATION COORDINATOR
CONYERS, GA 30012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063695773, enumerated as an "individual" on December 17, 2007.

The provider is located at 1412 MILSTEAD AVE NE CONYERS, GA 30012 and the phone number is (770) 918-3905.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.

Neil Edgerton is affiliated with: PIEDMONT NEWTON HOSPITAL, PIEDMONT ROCKDALE HOSPITAL and NORTHSIDE HOSPITAL.