JOSE FERNANDO AYCINENA GOICOLEA MD
NPI 1245495787
Colon & Rectal Surgery in Gainesville, GA

Active since July 24, 2008PECOS EnrolledAccepts Medicare Assignment
76.58/100
CMS Quality Rating
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501(770) 536-2323(770) 536-4947 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2019, Aug 30, 2016 (2 updates tracked since 2016).

About Jose Fernando Aycinena Goicolea Md NPPES

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

JOSE FERNANDO AYCINENA GOICOLEA MD (NPI 1245495787) is an individual colon & rectal surgery provider in Gainesville, Georgia, licensed in Georgia (076114) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245495787
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJOSE FERNANDO AYCINENA GOICOLEACredential: MD
Location Address725 JESSE JEWELL PKWY SEGainesville, GA 30501-3834
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 533-4786
Fax(770) 536-4947
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 24, 2008
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1245495787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in GA · 076114
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 076114 (GA)
725 JESSE JEWELL PKWY SE, Gainesville, GA 30501

Other Names 1

Other Name (5)Jose Fernando Aycinena Md

Secondary Practice Locations 4

Location 1743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 536-2323 · Fax (770) 536-4947
Location 21400 River PlBraselton, GA 30517-5600 · Phone (770) 536-2323 · Fax (770) 536-4947
Location 3495 Highway 400Dahlonega, GA 30533-6823 · Phone (770) 536-2323 · Fax (770) 536-4947
Location 41270 Friendship RdBraselton, GA 30517-5608 · Phone (770) 536-2323 · Fax (770) 536-4947

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

Jose Fernando Aycinena Goicolea 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 ID345411906
PECOS Enrollment IDI20161027000980
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 19

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.
96 services77 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.
64 services64 patients
Injection of agent into vein to assess blood flow of skin graft or flap 15860
This procedure involves injecting a special substance into your vein to evaluate the blood flow in a skin graft or flap. The substance helps to highlight the blood vessels under imaging, providing a clear picture of how well the graft or flap is receiving blood supply.
50 services47 patients
Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330
This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
46 services40 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
42 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.63
Promoting Interoperability87
Improvement Activities20
Cost72.14

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers11 claims84 services$5.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinical Medical Laboratory
725 JESSE JEWELL PKWY SE, SUITE 260
GAINESVILLE, GA 30501
Internal Medicine
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Surgery (Vascular Surgery)
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Surgery
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Physician Assistant
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Pediatrics
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501

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 Jose Aycinena Goicolea's NPI number?

The NPI number for Jose Aycinena Goicolea is 1245495787. It was assigned to this individual provider in the NPPES registry on July 24, 2008. The provider is also known as Jose Fernando Aycinena MD.

Where is Jose Aycinena Goicolea located?

Jose Aycinena Goicolea practices at 725 Jesse Jewell Pkwy SE, Gainesville, GA 30501. The listed phone number is (770) 536-2323.

What is Jose Aycinena Goicolea's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jose Aycinena Goicolea enrolled in Medicare?

Yes. Jose Aycinena Goicolea 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 Jose Aycinena Goicolea accept?

Health plans from Alliant Health Plans, Inc. list Jose Aycinena Goicolea 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 Jose Aycinena Goicolea affiliated with any hospitals?

According to CMS data, Jose Aycinena Goicolea is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Jose Aycinena Goicolea was last updated on May 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.