DR. MALCOLM VELASCO MD
NPI 1174100283
Emergency Medicine in Decatur, GA

Active since March 25, 2021PECOS Enrolled
1670 CLAIRMONT RD, DECATUR, GA 30033(404) 321-6111 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Dr. Malcolm Velasco Md NPPES

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

DR. MALCOLM VELASCO MD (NPI 1174100283) is an individual emergency medicine provider in Decatur, Georgia, licensed in Georgia (98788) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174100283
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MALCOLM VELASCOCredential: MD
Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004
Mailing Address531 Asbury Cir Ste N340Atlanta, GA 30322-1006 · (404) 778-5975
Sole ProprietorNo
Enumeration DateMarch 25, 2021
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1174100283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 98788
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1670 CLAIRMONT RD, Decatur, GA 30033

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Malcolm Velasco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Malcolm Velasco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Emergency Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 92 clinicians in this Medicare group
Anesthesiology
303 SMITH ST
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 1,506 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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.

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.

Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Registered Nurse
1670 CLAIRMONT RD
DECATUR, GA 30033
Family Medicine
1670 CLAIRMONT RD
DECATUR, GA 30033
Speech-Language Pathologist
1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Internal Medicine
1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033

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 Malcolm Velasco's NPI number?

The NPI number for Malcolm Velasco is 1174100283. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Malcolm Velasco located?

Malcolm Velasco practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-6111.

What is Malcolm Velasco's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Malcolm Velasco enrolled in Medicare?

Yes. Malcolm Velasco is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Malcolm Velasco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malcolm Velasco reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Georgia Emergency Department Services, P.C. (Gainesville, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Malcolm Velasco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Malcolm Velasco accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Malcolm Velasco 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.

When was this NPI record last updated?

The NPPES record for Malcolm Velasco was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.