DR. FRANCISCO J ALBERT DO
NPI 1255352837
Hospitalist in Braselton, GA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
1400 RIVER PL, BRASELTON, GA 30517(770) 219-9000 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2024, Jul 2, 2024, Oct 8, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Francisco J Albert Do NPPES

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

DR. FRANCISCO J ALBERT DO (NPI 1255352837) is an individual hospitalist provider in Braselton, Georgia, licensed in Georgia (90986) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255352837
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. FRANCISCO J ALBERTCredential: DO
Location Address1400 RIVER PLBraselton, GA 30517-5600
Mailing AddressPo Box 742616Atlanta, GA 30374-2616
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1998
Enumeration DateJuly 21, 2006
Last NPPES UpdateSeptember 9, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1255352837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in GA · 90986 Licensed in SC · 734
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 734 (SC), 90986 (GA)
1400 RIVER PL, Braselton, GA 30517

Secondary Practice Locations 2

Location 12720 Sunset BlvdWest Columbia, SC 29169 · Phone (803) 791-2480 · Fax (803) 936-4102
Location 21270 Prince Ave Ste 201Athens, GA 30606-2789 · Phone (706) 475-7055

Other Identifiers 1

Medicaid007343SC

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

Dr. Francisco J Albert Do 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 ID9032003223
PECOS Enrollment IDI20241218000534
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 3

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
347 services118 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
72 services71 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.
67 services66 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 30517 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers45 claims45 services$15.27 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers26 claims26 services$3.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers62 claims62 services$69.03 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.02 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers34 claims34 services$16.30 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.

Nurse Practitioner (Gerontology)
1400 RIVER PL
BRASELTON, GA 30517
Pharmacist
1400 RIVER PL
BRASELTON, GA 30517
Surgery (Vascular Surgery)
1400 RIVER PL
BRASELTON, GA 30517
Physician Assistant (Medical)
1400 RIVER PL
BRASELTON, GA 30517
Pediatrics
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517
Hospitalist
1400 RIVER PL
BRASELTON, GA 30517
Physician Assistant (Medical)
1400 RIVER PL
BRASELTON, GA 30517

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 Francisco Albert's NPI number?

The NPI number for Francisco Albert is 1255352837. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Francisco Albert located?

Francisco Albert practices at 1400 River Pl, Braselton, GA 30517. The listed phone number is (770) 219-9000.

What is Francisco Albert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Francisco Albert enrolled in Medicare?

Yes. Francisco Albert 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 Francisco Albert accept?

Health plans from Alliant Health Plans, Inc. list Francisco Albert 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 Francisco Albert affiliated with any hospitals?

According to CMS data, Francisco Albert is affiliated with Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Francisco Albert was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.