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DR. DAVID EDWIN ALLEN M.D.
NPI 1194705434
Internal Medicine - Nephrology in Augusta, GA

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
818 SAINT SEBASTIAN WAY, SUITE 300, AUGUSTA, GA 30901(706) 722-0186(706) 722-0290 Get Directions Write a Review

NPPES record last updated: May 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Edwin Allen M.d. NPPES

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

DR. DAVID EDWIN ALLEN M.D. (NPI 1194705434) is an individual nephrology provider in Augusta, Georgia, licensed in Georgia (057919) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of University Of Mississippi School Of Medicine (1997).

NPPES Registry Identity

NPI1194705434
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. DAVID EDWIN ALLENCredential: M.D.
Location Address818 SAINT SEBASTIAN WAY, SUITE 300Augusta, GA 30901-2651
Mailing Address818 Saint Sebastian Way, Ste 300Augusta, GA 30901-2653 · (706) 364-4102 · Fax (706) 722-0290
Phone(706) 722-0186
Fax(706) 722-0290
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1997
Enumeration DateJanuary 20, 2006
Last NPPES UpdateMay 17, 2017
✔ NPI 1194705434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in GA · 057919✔ Licensed in SC · 28888✔ Licensed in MS · 16000
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
818 SAINT SEBASTIAN WAY, Augusta, GA 30901
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN7119SC
Medicare UPINI57084GA
Medicare PIN39BDCNFGA
Medicaid352045041AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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. David Edwin Allen 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 ID9830193853
PECOS Enrollment IDI20060906000346, I20090415000049
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 9

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 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.
649 services341 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
644 services87 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
176 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
91 services70 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients

Hospital Affiliations CMS Care Compare 5

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

Washington County Regional Medical Center

Acute Care Hospitals · Sandersville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110086
Location610 Sparta RoadSandersville, GA 31082 · Washington County
Emergency services

Emanuel Medical Center

Acute Care Hospitals · Swainsboro, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110109
Location117 Kite RoadSwainsboro, GA 30401 · Emanuel County
Emergency services

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Wills Memorial Hospital

Critical Access Hospitals · Washington, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111325
Location120 Gordon StreetWashington, GA 30673 · Wilkes County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Reported Quality Measures

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…
100%205 patients5/55-star benchmark: 100%
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.

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.

MATTHEW KEVIN HOWARD MD
Internal Medicine
818 SAINT SEBASTIAN WAY, SUITE 311
AUGUSTA, GA 30901
Richmond County (706) 724-3473
DR. WILLIAM H MORETZ MD
Otolaryngology (Otology & Neurotology)
818 SAINT SEBASTIAN WAY, SUITE 204
AUGUSTA, GA 30901
Richmond County (706) 724-0668
RENEWAL , INC
Prosthetic/Orthotic Supplier
818 SAINT SEBASTIAN WAY, STE 205
AUGUSTA, GA 30901
Richmond County (706) 774-4155
UNIVERSITY VASCULAR SPECIALIST, INC.
Surgery (Vascular Surgery)
818 SAINT SEBASTIAN WAY, SUITE 408
AUGUSTA, GA 30901
Richmond County (706) 722-2334
DEBORA SUMNER MULLING FNP
Nurse Practitioner (Family)
818 SAINT SEBASTIAN WAY, SUITE 308
AUGUSTA, GA 30901
Richmond County (706) 724-4400
UNIVERSITY SLEEP ASSOCIATES
Specialist
818 SAINT SEBASTIAN WAY, SUITE 101
AUGUSTA, GA 30901
Richmond County (706) 922-5864
SOUTHERN OTOLOGIC CLINIC PC
Otolaryngology (Otology & Neurotology)
818 SAINT SEBASTIAN WAY, SUITE 204
AUGUSTA, GA 30901
Richmond County (706) 724-0668
DR. DAVID M CLARK MD
Internal Medicine (Clinical Cardiac Electrophysiology)
818 SAINT SEBASTIAN WAY, SUITE 311
AUGUSTA, GA 30901
Richmond County (706) 724-3473

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 David Allen's NPI number?

The NPI number for David Allen is 1194705434. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is David Allen located?

David Allen practices at 818 Saint Sebastian Way Suite 300, Augusta, GA 30901. The listed phone number is (706) 722-0186.

What is David Allen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is David Allen enrolled in Medicare?

Yes. David Allen 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 David Allen accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list David Allen 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 David Allen affiliated with any hospitals?

According to CMS data, David Allen is affiliated with Piedmont Augusta Hospital, Washington County Regional Medical Center, Emanuel Medical Center, Doctors Hospital and Wills Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Allen was last updated on May 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.