1. Home
  2. Directory
  3. Georgia
  4. Roswell
  5. Otolaryngology
  6. NPI Profile

DR. ANDREW DIAMOND MD
NPI 1114905379
Otolaryngology in Roswell, GA

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
81.09/100
CMS Quality Rating
1360 UPPER HEMBREE RD, SUITE 201, ROSWELL, GA 30076(770) 475-3361(770) 664-4431 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andrew Diamond Md NPPES

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

DR. ANDREW DIAMOND MD (NPI 1114905379) is an individual otolaryngology provider in Roswell, Georgia, licensed in Georgia (036368) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Js Weill Medical College, Cornell University (1988).

NPPES Registry Identity

NPI1114905379
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ANDREW DIAMONDCredential: MD
Location Address1360 UPPER HEMBREE RD, SUITE 201Roswell, GA 30076-1171
Mailing Address1360 Upper Hembree Rd, Suite 201bRoswell, GA 30076-1171 · (770) 475-3361 · Fax (770) 664-4431
Phone(770) 475-3361
Fax(770) 664-4431
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1988
Enumeration DateJanuary 6, 2006
Last NPPES UpdateNovember 5, 2019
✔ NPI 1114905379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 036368
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1360 UPPER HEMBREE RD, Roswell, GA 30076
Open in Google Maps ↗

Other Identifiers 2

Medicaid000539129HGA
Medicaid000539129IGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Andrew Diamond 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 ID1850294489
PECOS Enrollment IDI20050112000645
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 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 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.
31 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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.

81.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.96
Promoting Interoperability100
Improvement Activities40
Cost68.02

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers11 claims31 services$28.17 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers14 claims79 services$1.77 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers16 claims16 services$40.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NORTHSIDE EAR, NOSE & THROAT, PC
Otolaryngology
1360 UPPER HEMBREE RD, 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
VIVEK V. GURUDUTT MD
Otolaryngology
1360 UPPER HEMBREE RD, SUITE 201B
ROSWELL, GA 30076
Fulton County (770) 475-3361
ALPHARETTA HEAD AND NECK SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1360 UPPER HEMBREE RD, SUITE 202
ROSWELL, GA 30076
Fulton County (404) 256-7532
SAMUEL LORENZO MD
Emergency Medicine (Emergency Medical Services)
1360 UPPER HEMBREE RD, SUITE 100
ROSWELL, GA 30076
Fulton County (678) 672-5100
LESA KAGAN AUD, CCC-A
Audiologist
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
KSHITIJ VIPIN MAJMUNDAR MD
Specialist
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
GEORGIA NORTHSIDE EAR, NOSE AND THROAT, LLC
Allergy & Immunology
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361
THOMAS A. JOHNSON, DDS
Dentist (Oral and Maxillofacial Radiology)
1360 UPPER HEMBREE RD, SUITE 201
ROSWELL, GA 30076
Fulton County (770) 475-3361

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 Andrew Diamond's NPI number?

The NPI number for Andrew Diamond is 1114905379. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Andrew Diamond located?

Andrew Diamond practices at 1360 Upper Hembree Rd Suite 201, Roswell, GA 30076. The listed phone number is (770) 475-3361.

What is Andrew Diamond's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Andrew Diamond enrolled in Medicare?

Yes. Andrew Diamond 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 Andrew Diamond accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Andrew Diamond 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 Andrew Diamond affiliated with any hospitals?

According to CMS data, Andrew Diamond is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Andrew Diamond was last updated on November 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.