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DR. HONG NGOC TRAN MD
NPI 1245557115
Radiology - Diagnostic Radiology in Gainesville, GA

Active since April 30, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
200 W ACADEMY ST NW, GAINESVILLE, GA 30501(770) 282-8820 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2021, Jun 29, 2018, Mar 6, 2018 (3 updates tracked since 2018).

About Dr. Hong Ngoc Tran Md NPPES

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

DR. HONG NGOC TRAN MD (NPI 1245557115) is an individual diagnostic radiology provider in Gainesville, Georgia, licensed in Georgia (84547) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and is a graduate of Meharry Medical College School Of Medicine (2010).

NPPES Registry Identity

NPI1245557115
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. HONG NGOC TRANCredential: MD
Location Address200 W ACADEMY ST NWGainesville, GA 30501-8568
Mailing Address200 W Academy St NwGainesville, GA 30501-8568 · (770) 282-8820
Phone(770) 282-8820
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2010
Enumeration DateApril 30, 2010
Last NPPES UpdateJune 22, 20213 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1245557115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in GA · 84547✔ Licensed in IL · 036142634✔ Licensed in TN · 48001
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 W ACADEMY ST NW, Gainesville, GA 30501
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100516950KY
MedicaidQ033747TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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. Hong Ngoc Tran 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 ID6800184474
PECOS Enrollment IDI20180523000730
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 12

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
378 services378 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
358 services357 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
107 services107 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
69 services69 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
63 services62 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
51 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 9

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

DR. DAVID S BAILEY ED.D., ABPP
Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Hall County (770) 535-1284
DR. PATRICIA A MCCOY PH.D.
Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Hall County (770) 535-1284
TONY MIHIR GHODADRA M.D.
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
CHARLOTTE BOBBITT FNP-C
Nurse Practitioner (Family)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
GAURI R KHORJEKAR MD
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
MR. JOHN BRIAN DUTEAU PA
Physician Assistant (Medical)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
DR. JANICE R HUGHES PHD
Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Hall County (770) 535-1284
KYLE RIVES MD
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820

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 Hong Tran's NPI number?

The NPI number for Hong Tran is 1245557115. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Hong Tran located?

Hong Tran practices at 200 W Academy St NW, Gainesville, GA 30501. The listed phone number is (770) 282-8820.

What is Hong Tran's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Hong Tran enrolled in Medicare?

Yes. Hong Tran 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 Hong Tran accept?

Health plans from Alliant Health Plans, Inc., Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Hong Tran 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 Hong Tran affiliated with any hospitals?

According to CMS data, Hong Tran is affiliated with Tristar Summit Medical Center, Tristar Centennial Medical Center and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Hong Tran was last updated on June 22, 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.