MICHAEL LEVINE MD
NPI 1154305191
Internal Medicine - Gastroenterology in Marietta, GA

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
2520 WINDY HILL RD SE, SUITE 102, MARIETTA, GA 30067(770) 612-8165(770) 612-8195 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Levine Md NPPES

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

MICHAEL LEVINE MD (NPI 1154305191) is an individual gastroenterology provider in Marietta, Georgia, licensed in Georgia (12932) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Ohio State University College Of Medicine (1968).

NPPES Registry Identity

NPI1154305191
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL LEVINECredential: MD
Location Address2520 WINDY HILL RD SE, SUITE 102Marietta, GA 30067-8664
Mailing Address550 Peachtree St Ne, Suite 1620Atlanta, GA 30308-2209 · (404) 885-7701 · Fax (404) 885-7777
Fax(770) 612-8195
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1968
Enumeration DateDecember 2, 2005
Last NPPES UpdateJuly 14, 2011
NPI 1154305191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in GA · 12932
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2520 WINDY HILL RD SE, Marietta, GA 30067

Other Identifiers 3

Medicare ID-Type Unspecified10BDHHG
Medicaid000011261EGA
Medicare UPIND45941GA

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

Michael Levine 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 ID4486616000
PECOS Enrollment IDI20041027000311
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 6

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.
141 services86 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.
45 services22 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.
36 services36 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.
28 services25 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
18 services17 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 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.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

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.

Clinic/Center (Podiatric)
2520 WINDY HILL RD SE, SUITE 105
MARIETTA, GA 30067
Psychologist
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Counselor (Professional)
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Psychologist
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Psychologist
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Psychologist
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Counselor (Professional)
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Psychologist
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067

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 Michael Levine's NPI number?

The NPI number for Michael Levine is 1154305191. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Michael Levine located?

Michael Levine practices at 2520 Windy Hill Rd SE Suite 102, Marietta, GA 30067. The listed phone number is (770) 612-8165.

What is Michael Levine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Levine enrolled in Medicare?

Yes. Michael Levine 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 Michael Levine 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 Michael Levine 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 Michael Levine affiliated with any hospitals?

According to CMS data, Michael Levine is affiliated with Northside Hospital Forsyth, Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Levine was last updated on July 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.