DR. FRANK MARTIN CASEY JR. M.D.
NPI 1174645329
Urology in Macon, GA

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
21.38/100
CMS Quality Rating
5400 BOWMAN RD, SUITE 100, MACON, GA 31210(478) 745-6576(478) 746-0018 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Frank Martin Casey Jr. M.d. NPPES

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

DR. FRANK MARTIN CASEY JR. M.D. (NPI 1174645329) is an individual urology provider in Macon, Georgia, licensed in Georgia (059614) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of University Of Minnesota Medical School (2002).

NPPES Registry Identity

NPI1174645329
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. FRANK MARTIN CASEY JR.Credential: M.D.
Location Address5400 BOWMAN RD, SUITE 100Macon, GA 31210-8879
Mailing Address5400 Bowman Rd, Suite 100Macon, GA 31210-8879 · (478) 745-6576 · Fax (478) 746-0018
Fax(478) 746-0018
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2002
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 23, 2013
NPI 1174645329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in GA · 059614
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.

5400 BOWMAN RD, Macon, GA 31210

Other Identifiers 2

Medicare PIN34BDDQLGA
Medicaid308323399AGA

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

Dr. Frank Martin Casey Jr. 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 ID5395831895
PECOS Enrollment IDI20071015000141
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 31

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
35,671 services16 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,580 services37 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
697 services539 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.
470 services397 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
221 services194 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.
220 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services 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

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

21.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality25
Improvement Activities0
Cost37.94

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers28 claims2,880 services$1.60 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers43 claims5,948 services$6.01 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 11

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

Clinic/Center (Ambulatory Surgical)
5400 BOWMAN RD, SUITE 102
MACON, GA 31210
Urology
5400 BOWMAN RD, SUITE 100
MACON, GA 31210
Nurse Practitioner (Family)
5400 BOWMAN RD
MACON, GA 31210
Urology
5400 BOWMAN RD
MACON, GA 31210
Anesthesiology
5400 BOWMAN RD
MACON, GA 31210
Urology
5400 BOWMAN RD, SUITE 100
MACON, GA 31210
Urology
5400 BOWMAN RD, 100
MACON, GA 31210
Urology
5400 BOWMAN RD, SUITE 100
MACON, GA 31210

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 Frank Casey's NPI number?

The NPI number for Frank Casey is 1174645329. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Frank Casey located?

Frank Casey practices at 5400 Bowman Rd Suite 100, Macon, GA 31210. The listed phone number is (478) 745-6576.

What is Frank Casey's specialty?

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

Is Frank Casey enrolled in Medicare?

Yes. Frank Casey 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 Frank Casey 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 Frank Casey 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 Frank Casey affiliated with any hospitals?

According to CMS data, Frank Casey is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Navicent Health Baldwin, Northside Hospital and Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for Frank Casey was last updated on July 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.