MICHAEL CRAIG FIEDOREK MD NPI 1225458342
Anesthesiology - Pediatric Anesthesiology in Atlanta, GA

Individual Male Years of Experience 9 Anesthesiology Pediatric Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment

About MICHAEL CRAIG FIEDOREK MD

Michael Fiedorek is a provider established in Atlanta, Georgia and his medical specialization is Anesthesiology with a focus in pediatric anesthesiology with more than 9 years of experience. The NPI number of Michael Fiedorek is 1225458342 and was assigned on April 2014. The practitioner's primary taxonomy code is 207LP3000X with license number 83557 (GA). The provider is registered as an individual and his NPI record was last updated June 2022.

NPI
1225458342
Provider Name MICHAEL CRAIG FIEDOREK MD
Provider Location Address1405 CLIFTON RD NE FL 3 ATLANTA, GA 30322
Provider Mailing Address1405 CLIFTON RD NE FL 3 ATLANTA, GA 30322
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2014
Is Sole Proprietor?No
Enumeration Date04-17-2014
Last Update Date06-06-2022

Michael Fiedorek is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Michael Fiedorek is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.8 for a new patient copayment and $18.4 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207LP3000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Anesthesiology
License No.83557
License StateGA
Taxonomy DescriptionAn anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

Business Address

MICHAEL CRAIG FIEDOREK MD
1405 CLIFTON RD NE FL 3
ATLANTA, GA
ZIP 30322
Phone: (404) 785-6670
Fax: (404) 785-1362

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Mailing Address

MICHAEL CRAIG FIEDOREK MD
1405 CLIFTON RD NE FL 3
ATLANTA, GA
ZIP 30322
Phone: (404) 785-6670
Fax: (404) 785-1362


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID941526487
PECOS Enrollment IDI20211206000276
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 30322 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.88 $178.51 $135.21
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.72 $44.62 $33.8
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.36 $145.86 $73.63
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.59 $36.46 $18.4

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225458342
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245851638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 8 + 5 + 1 + 6 + 3 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1225458342 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902984578 KIMBERLY SINGER MD
Individual
Anesthesiology1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1295401800 JOHN HOLLAND PAA
Individual
Anesthesiology (Pediatric Anesthesiology)1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1477005700 HANNAH SECUNDA CRNA
Individual
Nurse Anesthetist, Certified Registered1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1538326137 SHAWN C LEWIS CRNA
Individual
Nurse Anesthetist, Certified Registered1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1558945121 TAYLOR ROTELL PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1659467314 BRENTAN M EDWARDS PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1700135670 DENISE JANE FREDERICK CRNA
Individual
Nurse Anesthetist, Certified Registered1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1841947884 KIMBERLY SINGER MD
Individual
Anesthesiology1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1003023607 MATTHEW LEWIS PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1023341922 SOUMYA NYSHADHAM MD
Individual
Anesthesiology (Pediatric Anesthesiology)1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1043539034 JENNIE NAHODYL PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1043565344 JESSE FARRIS PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1063531218 JAMES JOHN MOONEY MD
Individual
Anesthesiology (Pediatric Anesthesiology)1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1073979746 JENNIFER ANNE TENORIO KETCHAM CRNA
Individual
Nurse Anesthetist, Certified Registered1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1104169010 KINGSLEY DUNWOODY PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1104208958 LAUREN KEISTER PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1184821514 SHIVANI MUKKAMALA MD
Individual
Anesthesiology1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1205232949 VICTORIA FERNANDEZ PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1205264934 STEVEN LIN PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670
1235168857 FIDEL LOPEZ PAA
Individual
Anesthesiologist Assistant1405 CLIFTON RD NE FL 3
ATLANTA, GA 30322
(404) 785-6670

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Michael Craig Fiedorek Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.