1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Internal Medicine
  6. NPI Profile

MR. JAY B. MEPANI M.D.
NPI 1174570378
Internal Medicine - Endocrinology, Diabetes & Metabolism in Decatur, GA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
2665 N DECATUR RD, STE 520, DECATUR, GA 30033(404) 299-2223 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jay B. Mepani M.d. NPPES

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

MR. JAY B. MEPANI M.D. (NPI 1174570378) is an individual endocrinology, diabetes & metabolism provider in Decatur, Georgia, licensed in Georgia (062559) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (2000).

NPPES Registry Identity

NPI1174570378
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMR. JAY B. MEPANICredential: M.D.
Location Address2665 N DECATUR RD, STE 520Decatur, GA 30033-6149
Mailing Address2665 N Decatur Rd, Ste 520Decatur, GA 30033-6149 · (404) 299-2223
Phone(404) 299-2223
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2000
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 9, 2009
✔ NPI 1174570378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in GA · 062559
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 49164 (WI)
2665 N DECATUR RD, Decatur, GA 30033
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI30463
Medicaid34850700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Mr. Jay B. Mepani 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 ID6406890268
PECOS Enrollment IDI20091210000088
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 10

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.
737 services270 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
616 services241 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
613 services238 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
611 services243 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.
348 services218 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
117 services71 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

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
$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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers22 claims350 services$18.21 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers22 claims740 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
44 suppliers169 claims533 services$6.20 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers20 claims20 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
19 suppliers52 claims87 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers22 claims22 services$280.09 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.

DR. SARAH ELIZABETH DEROSSETT M.D., PHD.
Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, STE 630
DECATUR, GA 30033
Dekalb County (404) 294-3040
MARSHALL L. NASH M.D.
Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, SUITE 540
DECATUR, GA 30033
Dekalb County (404) 508-4008
KENNETH MELBY M.D.
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
DECATUR, GA 30033
Dekalb County (404) 294-4018
DR. ANNEMAREI RANTA M.D.
Psychiatry & Neurology (Neurology)
2665 N DECATUR RD, STE 630
DECATUR, GA 30033
Dekalb County (404) 294-3040
DR. ELEANOR M. HO MD, MPH
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2665 N DECATUR RD, SUITE 750
DECATUR, GA 30033
Dekalb County (770) 279-3838
GULZAR B. KASSAM, MD, P.C.
Obstetrics & Gynecology (Obstetrics)
2665 N DECATUR RD, SUITE 255
DECATUR, GA 30033
Dekalb County (678) 904-1150
JOSE FERNANDO ARISTIZABAL MD
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
DECATUR, GA 30033
Dekalb County (404) 294-4018
DR. DAVID CLAUDE SNYDER M.D.
Internal Medicine (Pulmonary Disease)
2665 N DECATUR RD, SUITE 430
DECATUR, GA 30033
Dekalb County (404) 294-4018

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 Jay Mepani's NPI number?

The NPI number for Jay Mepani is 1174570378. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Jay Mepani located?

Jay Mepani practices at 2665 N Decatur Rd Ste 520, Decatur, GA 30033. The listed phone number is (404) 299-2223.

What is Jay Mepani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jay Mepani enrolled in Medicare?

Yes. Jay Mepani 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 Jay Mepani accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jay Mepani 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 Jay Mepani affiliated with any hospitals?

According to CMS data, Jay Mepani is affiliated with Piedmont Newton Hospital, Emory Decatur Hospital, Piedmont Rockdale Hospital, Northside Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Jay Mepani was last updated on July 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.