DR. CARLOS A OSMON MD
NPI 1225033640
Internal Medicine - Hematology & Oncology in Austell, GA

Q: What is Carlos Osmon's NPI number?

The NPI number for Carlos Osmon is 1225033640. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Carlos Osmon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Osmon was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment

92.93/100

CMS Quality Rating

1700 HOSPITAL SOUTH DR STE 300, AUSTELL, GA 30106(770) 944-2830(678) 581-7170 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2019, Dec 13, 2017 (2 updates tracked since 2017).

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About Dr. Carlos A Osmon Md NPPES

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

DR. CARLOS A OSMON MD (NPI 1225033640) is an individual hematology & oncology provider in Austell, Georgia, licensed in Georgia (016653) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center Villa Rica, and maintains a secondary practice location in Cartersville.

NPPES Registry Identity

NPI1225033640

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. CARLOS A OSMONCredential: MD

Location Address1700 HOSPITAL SOUTH DR STE 300Austell, GA 30106-8116

Mailing Address531 Roselane St Nw Ste 710Marietta, GA 30060-6975 · (678) 331-3297 · Fax (678) 581-7187

Phone(770) 944-2830

Fax(678) 581-7170

Sole ProprietorNo

Medical School CMSOtherGraduated 1968

Enumeration DateJune 14, 2005

Last NPPES UpdateApril 17, 20192 updates tracked since enumeration

✔ NPI 1225033640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in GA · 016653

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1700 HOSPITAL SOUTH DR STE 300, Austell, GA 30106

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Secondary Practice Location 1

Location 1100 Market Place Blvd Ste 200Cartersville, GA 30121-8716 · Phone (770) 386-7253 · Fax (770) 382-6424

Other Identifiers 6

Medicaid00114815GGA

Other1225033640GA · Npi Number

Medicaid00114815EGA

Medicaid00114815DGA

Medicaid00114815AGA

Medicaid000114815HGA

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. Carlos A Osmon 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 ID2860399763

PECOS Enrollment IDI20040308000360

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 7

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.

71 services50 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

35 services23 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

23 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 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.

18 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.

15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110015

Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County

Emergency services Birthing friendly

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number110031

Location601 South 8th StreetGriffin, GA 30224 · Spalding County

Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

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.

92.93/100

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

Scored through an Alternative Payment Model

Quality

80.38

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

77%22 patients4/55-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 6

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

MRS. LAUREN S SNYDER PA-C

Physician Assistant (Medical)