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GARY S FIGIEL M.D.
NPI 1265412860
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
52.23/100
CMS Quality Rating
5505 PEACHTREE DUNWOODY RD NE, SUITE 230, ATLANTA, GA 30342(404) 497-1830(404) 497-1828 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary S Figiel M.d. NPPES

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

GARY S FIGIEL M.D. (NPI 1265412860) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (035254) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of St. Louis College Of Physicians And Surgeons (1985).

NPPES Registry Identity

NPI1265412860
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameGARY S FIGIELCredential: M.D.
Location Address5505 PEACHTREE DUNWOODY RD NE, SUITE 230Atlanta, GA 30342-1713
Mailing Address5505 Peachtree Dunwoody Rd Ne, Suite 230Atlanta, GA 30342-1713 · (404) 497-1830 · Fax (404) 497-1828
Phone(404) 497-1830
Fax(404) 497-1828
Sole ProprietorYes
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 1985
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265412860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 035254
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

5505 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342
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Other Identifiers 3

Medicare UPINE12664GA
Medicare ID-Type Unspecified26BDJCZGA
Medicaid000483689CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Gary S Figiel M.d. 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 ID345228821
PECOS Enrollment IDI20100520000102
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.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
265 services58 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.
156 services49 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
134 services107 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
121 services42 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.
95 services37 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
81 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

52.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40.39
Improvement Activities40
Cost16.07

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$43.53 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$18.27 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier23 claims25 services$7.60 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.

ATLANTA SOUTHEAST CENTER FOR EPILEPSY & NEURODEVELOPMENT, PC
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
5505 PEACHTREE DUNWOODY RD NE, SUITE 500
ATLANTA, GA 30342
Fulton County (404) 256-3535
EZEQUIEL HERNAN CASSINELLI M.D.
Orthopaedic Surgery
5505 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342
Fulton County (404) 355-0743
AMARILIS DAVIS M.T
Massage Therapist
5505 PEACHTREE DUNWOODY RD NE, 250
ATLANTA, GA 30342
Fulton County (404) 425-1577
MARIO RAVRY, M.D., LLC
Internal Medicine
5505 PEACHTREE DUNWOODY RD NE, SUITE 650
ATLANTA, GA 30342
Fulton County (404) 459-9340
JOHNS CREEK OBSTETRICS & GYNECOLOGY, P.C.
Obstetrics & Gynecology (Obstetrics)
5505 PEACHTREE DUNWOODY RD NE, SUITE 580
ATLANTA, GA 30342
Fulton County (404) 256-6336
PAUL C. AJAMIAN O.D.
Optometrist
5505 PEACHTREE DUNWOODY RD NE, STE 300
ATLANTA, GA 30342
Fulton County (404) 257-0814
IRVING HOWARD MILLER DPM
Podiatrist
5505 PEACHTREE DUNWOODY RD NE, SUITE 420
ATLANTA, GA 30342
Fulton County (404) 843-0090
EXECUTIVE HEALTH AND RESEARCH ASSOCIATES, INC.
Specialist (Research Study)
5505 PEACHTREE DUNWOODY RD NE, SUITE 650
ATLANTA, GA 30342
Fulton County (404) 252-0701

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 Gary Figiel's NPI number?

The NPI number for Gary Figiel is 1265412860. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Gary Figiel located?

Gary Figiel practices at 5505 Peachtree Dunwoody Rd NE Suite 230, Atlanta, GA 30342. The listed phone number is (404) 497-1830.

What is Gary Figiel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Gary Figiel enrolled in Medicare?

Yes. Gary Figiel 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 Gary Figiel accept?

Health plans from Providence Health Plan list Gary Figiel 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.

When was this NPI record last updated?

The NPPES record for Gary Figiel was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.