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DR. WILLIAM M SCALJON M.D.
NPI 1164472643
Urology in Atlanta, GA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
95 COLLIER RD NW, SUITE 6025, ATLANTA, GA 30309(404) 352-9260(404) 352-9187 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William M Scaljon M.d. NPPES

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

DR. WILLIAM M SCALJON M.D. (NPI 1164472643) is an individual urology provider in Atlanta, Georgia, licensed in Georgia (019908) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1973).

NPPES Registry Identity

NPI1164472643
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. WILLIAM M SCALJONCredential: M.D.
Location Address95 COLLIER RD NW, SUITE 6025Atlanta, GA 30309-1796
Mailing Address95 Collier Rd Nw, Suite 6025Atlanta, GA 30309-1796 · (404) 352-9260 · Fax (404) 352-9187
Phone(404) 352-9260
Fax(404) 352-9187
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1973
Enumeration DateMay 12, 2006
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1164472643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in GA · 019908
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
95 COLLIER RD NW, Atlanta, GA 30309
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Other Identifiers 2

Medicare UPIND30722GA
Medicaid00227532AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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. William M Scaljon M.d. 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 ID1254465552
PECOS Enrollment IDI20101008000527
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 8

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.

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.
639 services373 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.
545 services343 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
257 services176 patients
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.
69 services61 patients
Injection, garamycin, gentamicin, up to 80 mg J1580
This procedure involves administering an injection of Gentamicin, also known as Garamycin, up to a dose of 80 mg. Gentamicin is an antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria.
57 services33 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
49 services34 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
14%680 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
59%354 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
61%681 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
64%689 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%661 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
61%54 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers12 claims1,650 services$1.57 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 20

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

HAROLD D. CARLSON MD
Internal Medicine (Interventional Cardiology)
95 COLLIER RD NW, SUITE 2065
ATLANTA, GA 30309
Fulton County (404) 605-2800
DAVID FRANCIS MELDRUM L.D.O.
Technician/Technologist (Optician)
95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309
Fulton County (404) 351-2220
DR. THOMAS S CLAIBORNE JR. M.D.
Internal Medicine (Gastroenterology)
95 COLLIER RD NW, SUITE 4055
ATLANTA, GA 30309
Fulton County (404) 355-3200
DR. ERIC LOUIS SCEUSI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
95 COLLIER RD NW, SUITE 2055
ATLANTA, GA 30309
Fulton County (404) 605-5699
JENINA PEREZ LAGASCA NP
Nurse Practitioner (Adult Health)
95 COLLIER RD NW, SUITE 5015
ATLANTA, GA 30309
Fulton County (404) 605-5699
IRIS MONTILLA-AFRIYE
Registered Nurse
95 COLLIER RD NW
ATLANTA, GA 30309
Fulton County (646) 228-2601
ARUN KRISHNAMOORTHY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309
Fulton County (404) 605-5140
DR. KEVIN MICHAEL MCGILL M.D.
Surgery
95 COLLIER RD NW, SUITE 6015
ATLANTA, GA 30309
Fulton County (404) 351-5959

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 William Scaljon's NPI number?

The NPI number for William Scaljon is 1164472643. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is William Scaljon located?

William Scaljon practices at 95 Collier Rd NW Suite 6025, Atlanta, GA 30309. The listed phone number is (404) 352-9260.

What is William Scaljon's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is William Scaljon enrolled in Medicare?

Yes. William Scaljon 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 William Scaljon accept?

Health plans from Alliant Health Plans, Inc. list William Scaljon 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 William Scaljon affiliated with any hospitals?

According to CMS data, William Scaljon is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for William Scaljon was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.