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GAETANO PAONE M.D.
NPI 1275630741
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Atlanta, GA

Active since September 19, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000(313) 916-2687 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gaetano Paone M.d. NPPES

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

GAETANO PAONE M.D. (NPI 1275630741) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Atlanta, Georgia, licensed in Georgia (81792) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1275630741
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameGAETANO PAONECredential: M.D.
Location Address1364 CLIFTON RD NEAtlanta, GA 30322-2608
Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1064 · (404) 712-2000
Phone(404) 712-2000
Fax(313) 916-2687
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 19, 2006
Last NPPES UpdateJune 6, 2019
✔ NPI 1275630741 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 · 81792✔ Licensed in MI · 4301055665
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 4301055665 (MI)
1364 CLIFTON RD NE, Atlanta, GA 30322
Open in Google Maps ↗

Other Identifiers 1

Medicaid4712699MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gaetano Paone 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 ID5294786463
PECOS Enrollment IDI20191014000249
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gaetano Paone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
0.1 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Emory Medical Care Foundation Inc
4.2 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
155 services155 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.
21 services21 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

GREGORY WESTON
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-5658
RUTH FLAHERTY CCC-SLP
Physician Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
JENNIFER MARIE SCHNETZER RN
Nurse Anesthetist, Certified Registered
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (679) 378-1093
PETER MORAN PHARMD
Pharmacist (Critical Care)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
SARAH ELIZABETH DUNSEATH MD
Anesthesiology (Critical Care Medicine)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-7777
DUYEN M VO PHARMD
Pharmacist (Pharmacotherapy)
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-7273
CHRISTINE CARPENTER
Anesthesiologist Assistant
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
DR. CHRISTOPHER VINCENT BARRY MD, PHD, MPH
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 727-5658

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 Gaetano Paone's NPI number?

The NPI number for Gaetano Paone is 1275630741. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Gaetano Paone located?

Gaetano Paone practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-2000.

What is Gaetano Paone's specialty?

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

Is Gaetano Paone enrolled in Medicare?

Yes. Gaetano Paone 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.

Which organizations bill Medicare for Gaetano Paone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gaetano Paone reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gaetano Paone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gaetano Paone accept?

Health plans from Ambetter Health and Oscar Health list Gaetano Paone 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 Gaetano Paone affiliated with any hospitals?

According to CMS data, Gaetano Paone is affiliated with Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Gaetano Paone was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.