DAROINE TEKLEYES MD
NPI 1093197154
Family Medicine in Smyrna, GA

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
582 CONCORD RD SE, SMYRNA, GA 30082(770) 384-9860 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2021, Oct 30, 2019, Oct 3, 2018 (3 updates tracked since 2018).

About Daroine Tekleyes Md NPPES

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

DAROINE TEKLEYES MD (NPI 1093197154) is an individual family medicine provider in Smyrna, Georgia, licensed in Georgia (79447) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Wellstar Cobb Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093197154
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDAROINE TEKLEYESCredential: MD
Location Address582 CONCORD RD SESmyrna, GA 30082-2616
Mailing Address582 Concord Rd SeSmyrna, GA 30082-2616 · (770) 384-9860
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 25, 2015
Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1093197154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 79447
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
582 CONCORD RD SE, Smyrna, GA 30082

Accepted 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

Daroine Tekleyes Md 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 ID3971811092
PECOS Enrollment IDI20180905003886
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 Daroine Tekleyes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
562 CONCORD RD
Smyrna, GA 30082
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group

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 3

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.
50 services42 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.
18 services15 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30082 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
$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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Family Medicine
582 CONCORD RD SE
SMYRNA, GA 30082
Student in an Organized Health Care Education/Training Program
582 CONCORD RD SE
SMYRNA, GA 30082
Family Medicine
582 CONCORD RD SE
SMYRNA, GA 30082

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 Daroine Tekleyes's NPI number?

The NPI number for Daroine Tekleyes is 1093197154. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Daroine Tekleyes located?

Daroine Tekleyes practices at 582 Concord Rd SE, Smyrna, GA 30082. The listed phone number is (770) 384-9860.

What is Daroine Tekleyes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daroine Tekleyes enrolled in Medicare?

Yes. Daroine Tekleyes 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 Daroine Tekleyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daroine Tekleyes reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Smyrna, GA) and Peachtree Immediate Care Fp, LLC (Hiram, 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 Daroine Tekleyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daroine Tekleyes accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Daroine Tekleyes 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 Daroine Tekleyes affiliated with any hospitals?

According to CMS data, Daroine Tekleyes is affiliated with Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Daroine Tekleyes was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.