DR. NDUBUISI APU NDUKWE M.D
NPI 1215268040
Family Medicine in Dacula, GA

Active since January 18, 2010PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
852 DACULA RD, DACULA, GA 30019(770) 848-9380 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 14, 2021, Aug 13, 2019 (2 updates tracked since 2019).

About Dr. Ndubuisi Apu Ndukwe M.d NPPES

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

DR. NDUBUISI APU NDUKWE M.D (NPI 1215268040) is an individual family medicine provider in Dacula, Georgia, licensed in Georgia (63788) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Piedmont Eastside Medical Center, and maintains a secondary practice location in Jefferson.

NPPES Registry Identity

NPI1215268040
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NDUBUISI APU NDUKWECredential: M.D
Location Address852 DACULA RDDacula, GA 30019
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 18, 2010
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1215268040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 63788
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
852 DACULA RD, Dacula, GA 30019

Secondary Practice Location 1

Location 1528 Panther DrJefferson, GA 30549-5400 · Phone (776) 387-5656 · Fax (706) 387-5554

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. Ndubuisi Apu Ndukwe 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 ID4880718378
PECOS Enrollment IDI20100907000325
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 3

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.
36 services17 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.
28 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services11 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30019 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.

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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.05
Promoting Interoperability100
Improvement Activities40
Cost50.53

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
1%110 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
32%68 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
49%110 patients2/55-star benchmark: 100%
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…
20%123 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
48%120 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
4%51 patients1/55-star benchmark: 98%
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 14

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

Physician Assistant (Surgical)
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019
Physician Assistant (Medical)
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
852 DACULA RD
DACULA, GA 30019
Family Medicine
852 DACULA RD
DACULA, GA 30019
Nurse Practitioner (Family)
852 DACULA RD
DACULA, GA 30019

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 Ndubuisi Ndukwe's NPI number?

The NPI number for Ndubuisi Ndukwe is 1215268040. It was assigned to this individual provider in the NPPES registry on January 18, 2010.

Where is Ndubuisi Ndukwe located?

Ndubuisi Ndukwe practices at 852 Dacula Rd, Dacula, GA 30019. The listed phone number is (770) 848-9380.

What is Ndubuisi Ndukwe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ndubuisi Ndukwe enrolled in Medicare?

Yes. Ndubuisi Ndukwe 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 Ndubuisi Ndukwe accept?

Health plans from Alliant Health Plans, Inc. list Ndubuisi Ndukwe 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 Ndubuisi Ndukwe affiliated with any hospitals?

According to CMS data, Ndubuisi Ndukwe is affiliated with Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Ndubuisi Ndukwe was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.