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THEOLYN N PRICE MD
NPI 1265402317
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Roswell, GA

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
2500 HOSPITAL BLVD STE 420, ROSWELL, GA 30076(704) 249-7327(770) 421-0228 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theolyn N Price Md NPPES

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

THEOLYN N PRICE MD (NPI 1265402317) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Roswell, Georgia, licensed in Georgia (80819) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1265402317
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameTHEOLYN N PRICECredential: MD
Location Address2500 HOSPITAL BLVD STE 420Roswell, GA 30076
Mailing Address2500 Hospital Blvd Ste 420Roswell, GA 30076-4919 · (704) 249-7327 · Fax (770) 421-0228
Phone(704) 249-7327
Fax(770) 421-0228
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2002
Enumeration DateJanuary 23, 2006
Last NPPES UpdateSeptember 30, 2019
✔ NPI 1265402317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in GA · 80819✔ Licensed in FL · ME110622✔ Licensed in CO · 52769
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 45827 (MN)
2500 HOSPITAL BLVD STE 420, Roswell, GA 30076
Open in Google Maps ↗

Secondary Practice Location 1

Location 12222 N Nevada Ave, SUITE 5011Colorado Springs, CO 80907-6819 · Phone (719) 776-7600 · Fax (719) 473-3553

Other Identifiers 4

Medicaid003983700MN
Medicaid35294500WI
MedicaidENROLLEDIA
OtherP00042740MN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Theolyn N Price 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 ID5799851291
PECOS Enrollment IDI20181204004016
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 7

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.
44 services36 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.
32 services32 patients
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.
24 services19 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
23 services16 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.
22 services22 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ADRIANA ACOSTA-PROWS ARNP
Nurse Practitioner
2500 HOSPITAL BLVD STE 420
ROSWELL, GA 30076
Fulton County (770) 410-4366

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 Theolyn Price's NPI number?

The NPI number for Theolyn Price is 1265402317. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Theolyn Price located?

Theolyn Price practices at 2500 Hospital Blvd Ste 420, Roswell, GA 30076. The listed phone number is (704) 249-7327.

What is Theolyn Price's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Theolyn Price enrolled in Medicare?

Yes. Theolyn Price 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 Theolyn Price accept?

Health plans from Alliant Health Plans, Inc. list Theolyn Price 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 Theolyn Price affiliated with any hospitals?

According to CMS data, Theolyn Price is affiliated with Wellstar Spalding Medical Center, Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Theolyn Price was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.