YULIYAN DONCHEV MD
NPI 1154377554
Family Medicine in Marietta, GA

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3600 SANDY PLAINS RD, MARIETTA, GA 30066(770) 977-4547(770) 977-8354 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yuliyan Donchev Md NPPES

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

YULIYAN DONCHEV MD (NPI 1154377554) is an individual family medicine provider in Marietta, Georgia, licensed in Georgia (062680) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1154377554
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameYULIYAN DONCHEVCredential: MD
Location Address3600 SANDY PLAINS RDMarietta, GA 30066-3020
Mailing Address3600 Sandy Plains RdMarietta, GA 30066-3020 · (770) 977-4547 · Fax (770) 977-8354
Fax(770) 977-8354
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 26, 2019
NPI 1154377554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 062680 Licensed in IN · 01061776A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3600 SANDY PLAINS RD, Marietta, GA 30066

Other Identifiers 1

Other000000478486IN · Anthem

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

Yuliyan Donchev 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 ID8224031737
PECOS Enrollment IDI20090824000615
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 12

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.
231 services195 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
105 services98 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.
67 services59 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
61 services56 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.
44 services44 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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 North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30066 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Family Medicine
3600 SANDY PLAINS RD
MARIETTA, GA 30066
Emergency Medicine
3600 SANDY PLAINS RD
MARIETTA, GA 30066
Physician Assistant
3600 SANDY PLAINS RD
MARIETTA, GA 30066
Nurse Practitioner (Family)
3600 SANDY PLAINS RD
MARIETTA, GA 30066
Physician Assistant
3600 SANDY PLAINS RD
MARIETTA, GA 30066
Emergency Medicine
3600 SANDY PLAINS RD
MARIETTA, GA 30066
Clinic/Center (Urgent Care)
3600 SANDY PLAINS RD
MARIETTA, GA 30066
Emergency Medicine
3600 SANDY PLAINS RD
MARIETTA, GA 30066

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 Yuliyan Donchev's NPI number?

The NPI number for Yuliyan Donchev is 1154377554. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Yuliyan Donchev located?

Yuliyan Donchev practices at 3600 Sandy Plains Rd, Marietta, GA 30066. The listed phone number is (770) 977-4547.

What is Yuliyan Donchev's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Yuliyan Donchev enrolled in Medicare?

Yes. Yuliyan Donchev 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 Yuliyan Donchev 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 Yuliyan Donchev 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 Yuliyan Donchev affiliated with any hospitals?

According to CMS data, Yuliyan Donchev is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Yuliyan Donchev was last updated on September 26, 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.