DR. LAVIEL A FERNANDEZ MD
NPI 1194259416
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Cumming, GA

Q: What is Laviel Fernandez's NPI number?

The NPI number for Laviel Fernandez is 1194259416. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Q: What is Laviel Fernandez's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Laviel Fernandez was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment

79.29/100

CMS Quality Rating

2000 HOWARD FARM DR STE 350, CUMMING, GA 30041(404) 847-4230 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Apr 15, 2024, Aug 16, 2023 and 4 more (7 updates tracked since 2017).

On this page

About Dr. Laviel A Fernandez Md NPPES

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

DR. LAVIEL A FERNANDEZ MD (NPI 1194259416) is an individual orthopaedic surgery of the spine provider in Cumming, Georgia, licensed in Georgia (96431) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2017).

NPPES Registry Identity

NPI1194259416

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. LAVIEL A FERNANDEZCredential: MD

Location Address2000 HOWARD FARM DR STE 350Cumming, GA 30041-6075

Mailing Address2000 Howard Farm Dr Ste 350Cumming, GA 30041-6075 · (045) 965-6704 · Fax (404) 847-4230

Phone(404) 847-4230

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2017

Enumeration DateApril 13, 2017

Last NPPES UpdateSeptember 16, 20247 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1194259416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Licenses✔ Licensed in GA · 96431✔ Licensed in MO · 2022011808

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 96431 (GA)

2000 HOWARD FARM DR STE 350, Cumming, GA 30041

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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

Dr. Laviel A Fernandez 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 ID7719368554

PECOS Enrollment IDI20241003002979, I20250925000108

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 2

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.

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.

16 services16 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.

14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420082

Location302 University ParkwayAiken, SC 29801 · Aiken County

Emergency services Birthing friendly

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.

79.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.46

Promoting Interoperability

100

Improvement Activities

Cost

59.51

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 Laviel Fernandez's NPI number?

The NPI number for Laviel Fernandez is 1194259416. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Laviel Fernandez located?

Laviel Fernandez practices at 2000 Howard Farm Dr Ste 350, Cumming, GA 30041. The listed phone number is (404) 847-4230.

What is Laviel Fernandez's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Laviel Fernandez enrolled in Medicare?

Yes. Laviel Fernandez 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 Laviel Fernandez accept?

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

According to CMS data, Laviel Fernandez is affiliated with Piedmont Augusta Hospital and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Laviel Fernandez was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.