SUSAN J. RUBIO PA-C
NPI 1235199522
Physician Assistant in Atlanta, GA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1968 PEACHTREE RD NW, ATLANTA, GA 30309(404) 367-3014(404) 367-3558 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan J. Rubio Pa-c NPPES

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

SUSAN J. RUBIO PA-C (NPI 1235199522) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (006752) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1999).

NPPES Registry Identity

NPI1235199522
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN J. RUBIOCredential: PA-C
Location Address1968 PEACHTREE RD NWAtlanta, GA 30309-1281
Mailing Address1968 Peachtree Rd NwAtlanta, GA 30309-1281 · (404) 367-3014 · Fax (404) 367-3558
Fax(404) 367-3558
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1999
Enumeration DateMarch 23, 2006
Last NPPES UpdateDecember 10, 2015
NPI 1235199522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 006752 Licensed in TX · PA02532
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1968 PEACHTREE RD NW, Atlanta, GA 30309

Other Names 1

Former Name (1)Susan J. Harris Pa-c

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

Susan J. Rubio Pa-c 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 ID3173545845
PECOS Enrollment IDI20130510000361
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
191 services136 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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%70 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%41 patients1/55-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
10%70 patients1/55-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…
13%72 patients1/55-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
10%40 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 20

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

Nurse Practitioner (Acute Care)
1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309
Anesthesiology
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Radiology (Diagnostic Radiology)
1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309
Nurse Practitioner (Adult Health)
1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309

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 Susan Rubio's NPI number?

The NPI number for Susan Rubio is 1235199522. It was assigned to this individual provider in the NPPES registry on March 23, 2006. The provider is also known as Susan J. Harris Pa-C.

Where is Susan Rubio located?

Susan Rubio practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 367-3014.

What is Susan Rubio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Rubio enrolled in Medicare?

Yes. Susan Rubio 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.

Is Susan Rubio affiliated with any hospitals?

According to CMS data, Susan Rubio is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Susan Rubio was last updated on December 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.