PROF. VALERIE BIOUSSE MD
NPI 1144248972
Ophthalmology - Neuro-ophthalmology in Atlanta, GA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365B CLIFTON RD NE, ATLANTA, GA 30322(404) 778-5360(404) 778-4849 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prof. Valerie Biousse Md NPPES

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

PROF. VALERIE BIOUSSE MD (NPI 1144248972) is an individual neuro-ophthalmology provider in Atlanta, Georgia, licensed in Georgia (050602) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1144248972
Entity TypeIndividualFemale
Primary Taxonomy207WX0109X
Provider Legal NamePROF. VALERIE BIOUSSECredential: MD
Location Address1365B CLIFTON RD NEAtlanta, GA 30322-1013
Mailing Address1365b Clifton Rd NeAtlanta, GA 30322-1013 · (404) 778-5360 · Fax (404) 778-4849
Fax(404) 778-4849
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 17, 2018
NPI 1144248972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License Licensed in GA · 050602
Definition

A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.

1365B CLIFTON RD NE, Atlanta, GA 30322

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Prof. Valerie Biousse 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 ID8022201482
PECOS Enrollment IDI20101019000488
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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
54 services49 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
44 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services31 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
26 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
18 services18 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

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

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.

Psychiatry & Neurology (Neurology)
1365B CLIFTON RD NE, SUITE B-3600
ATLANTA, GA 30322
Ophthalmology
1365B CLIFTON RD NE, ROOM 4513
ATLANTA, GA 30322
Neurological Surgery
1365B CLIFTON RD NE, STE B6400
ATLANTA, GA 30322
Ophthalmology
1365B CLIFTON RD NE, BUILDING B RM 2401
ATLANTA, GA 30322
Urology
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Urology
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Physician Assistant
1365B CLIFTON RD NE, SUITE B1400
ATLANTA, GA 30322
Urology
1365B CLIFTON RD NE, SUITE B1400
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 Valerie Biousse's NPI number?

The NPI number for Valerie Biousse is 1144248972. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Valerie Biousse located?

Valerie Biousse practices at 1365B Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-5360.

What is Valerie Biousse's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Valerie Biousse enrolled in Medicare?

Yes. Valerie Biousse 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 Valerie Biousse accept?

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

According to CMS data, Valerie Biousse is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Valerie Biousse was last updated on September 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.