DR. FRANK T ITALIANO MD
NPI 1144481573
Internal Medicine - Pulmonary Disease in Austell, GA

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
97.59/100
CMS Quality Rating
1680 HOSPITAL SOUTH DR, AUSTELL, GA 30106(770) 422-1372 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Frank T Italiano Md NPPES

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

DR. FRANK T ITALIANO MD (NPI 1144481573) is an individual pulmonary disease provider in Austell, Georgia, licensed in Georgia (71810) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144481573
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. FRANK T ITALIANOCredential: MD
Location Address1680 HOSPITAL SOUTH DRAustell, GA 30106-8110
Mailing Address55 Whitcher St NeMarietta, GA 30060-1155 · (770) 422-1372
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 18, 2008
Last NPPES UpdateOctober 30, 2019
NPI 1144481573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in GA · 71810
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 71810 (GA)
1680 HOSPITAL SOUTH DR, Austell, GA 30106

Other Identifiers 1

Medicaid0251241NJ

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

Dr. Frank T Italiano 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 ID4981885654
PECOS Enrollment IDI20140910002425
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
117 services67 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
114 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

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

Reedsburg Area Medical Center

Critical Access Hospitals · Reedsburg, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521351
Location2000 N Dewey AveReedsburg, WI 53959 · Sauk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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.

97.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.16
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers37 claims37 services$32.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers33 claims33 services$69.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers37 claims101 services$25.14 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers17 claims89 services$13.03 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers28 claims28 services$46.53 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers39 claims39 services$15.04 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 14

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

Clinic/Center (Medical Specialty)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Nurse Practitioner (Family)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Nurse Practitioner (Family)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Family Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Internal Medicine
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106
Nurse Practitioner (Family)
1680 HOSPITAL SOUTH DR
AUSTELL, GA 30106

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 Frank Italiano's NPI number?

The NPI number for Frank Italiano is 1144481573. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Frank Italiano located?

Frank Italiano practices at 1680 Hospital South Dr, Austell, GA 30106. The listed phone number is (770) 422-1372.

What is Frank Italiano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Frank Italiano enrolled in Medicare?

Yes. Frank Italiano 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 Frank Italiano accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Frank Italiano 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 Frank Italiano affiliated with any hospitals?

According to CMS data, Frank Italiano is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Reedsburg Area Medical Center.

When was this NPI record last updated?

The NPPES record for Frank Italiano was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.