JOHN DELGAUDIO M.D.
NPI 1104937861
Otolaryngology - Otolaryngic Allergy in Atlanta, GA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY, ATLANTA, GA 30322(404) 778-8331(404) 778-4295 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Delgaudio M.d. NPPES

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

JOHN DELGAUDIO M.D. (NPI 1104937861) is an individual otolaryngic allergy provider in Atlanta, Georgia, licensed in Georgia (39772) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1989).

NPPES Registry Identity

NPI1104937861
Entity TypeIndividualMale
Primary Taxonomy207YX0602X
Provider Legal NameJOHN DELGAUDIOCredential: M.D.
Location Address1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGYAtlanta, GA 30322-1013
Mailing Address1365a Clifton Rd Ne, Department Of OtolaryngologyAtlanta, GA 30322-1013 · (404) 778-8331 · Fax (404) 778-4295
Fax(404) 778-4295
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1989
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
NPI 1104937861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngic AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0602X
License Licensed in GA · 39772
Definition

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 39772 (GA)
1365A CLIFTON RD NE, Atlanta, GA 30322

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

John Delgaudio 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 ID2860515103
PECOS Enrollment IDI20101020001127
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 9

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
126 services99 patients
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.
62 services47 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
43 services26 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.
41 services33 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.
26 services26 patients
Computer-assisted procedure outside membrane covering brain 61782
A computer-assisted procedure outside the brain's membrane involves using advanced technology to help doctors accurately navigate and perform operations near the brain. This method enhances precision, safety, and effectiveness, potentially reducing recovery time.
25 services24 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

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
Quality73.83
Promoting Interoperability100
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.

Internal Medicine (Pulmonary Disease)
1365A CLIFTON RD NE, 4TH FLOOR
ATLANTA, GA 30322
Physician Assistant (Surgical)
1365A CLIFTON RD NE
ATLANTA, GA 30322
Otolaryngology
1365A CLIFTON RD NE
ATLANTA, GA 30322
Otolaryngology
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Otolaryngology
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Otolaryngology
1365A CLIFTON RD NE, DEPARTMENT OF OTOLARYNGOLOGY
ATLANTA, GA 30322
Audiologist
1365A CLIFTON RD NE, SUITE 2300
ATLANTA, GA 30322
Physician Assistant (Medical)
1365A CLIFTON RD NE
ATLANTA, GA 30322

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 John Delgaudio's NPI number?

The NPI number for John Delgaudio is 1104937861. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is John Delgaudio located?

John Delgaudio practices at 1365A Clifton Rd NE Department Of Otolaryngology, Atlanta, GA 30322. The listed phone number is (404) 778-8331.

What is John Delgaudio's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.

Is John Delgaudio enrolled in Medicare?

Yes. John Delgaudio 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 John Delgaudio accept?

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

According to CMS data, John Delgaudio is affiliated with Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for John Delgaudio was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.