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CAROLINE M ABRUZESE MD
NPI 1255328720
Internal Medicine in Atlanta, GA

Active since September 30, 2005PECOS Enrolled
6115 PEACHTREE DUNWOODY RD STE 200, ATLANTA, GA 30328(404) 843-3636(404) 891-7164 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caroline M Abruzese Md NPPES

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

CAROLINE M ABRUZESE MD (NPI 1255328720) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (043518) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255328720
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCAROLINE M ABRUZESECredential: MD
Location Address6115 PEACHTREE DUNWOODY RD STE 200Atlanta, GA 30328-5684
Mailing Address6115 Peachtree Dunwoody Rd Ste 200Sandy Springs, GA 30328-5684 · (404) 843-3636 · Fax (404) 891-7164
Phone(404) 843-3636
Fax(404) 891-7164
Sole ProprietorYes
Enumeration DateSeptember 30, 2005
Last NPPES UpdateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
✔ NPI 1255328720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 043518
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6115 PEACHTREE DUNWOODY RD STE 200, Atlanta, GA 30328
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline M Abruzese Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services29 patients
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.
27 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
22 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers17 claims28 services$6.11 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 3

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

PERSONALIZED HEALTHCARE, LLC
Internal Medicine
6115 PEACHTREE DUNWOODY RD STE 200
SANDY SPRINGS, GA 30328
Fulton County (404) 303-8889
PAUL EDWARD COX M.D.
Family Medicine
6115 PEACHTREE DUNWOODY RD STE 200
ATLANTA, GA 30328
Fulton County (404) 843-3636
VITAL LIVING HEALTHCARE SERVICES, LLC
Family Medicine (Adult Medicine)
6115 PEACHTREE DUNWOODY RD STE 200
ATLANTA, GA 30328
Fulton County (404) 843-3636

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 Caroline Abruzese's NPI number?

The NPI number for Caroline Abruzese is 1255328720. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Caroline Abruzese located?

Caroline Abruzese practices at 6115 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30328. The listed phone number is (404) 843-3636.

What is Caroline Abruzese's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Caroline Abruzese enrolled in Medicare?

Yes. Caroline Abruzese is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caroline Abruzese was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.