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DR. JORGE PEDRO LEGUIZAMO M.D.
NPI 1285612168
Internal Medicine - Hematology & Oncology in Lawrenceville, GA

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
68.38/100
CMS Quality Rating
698 DULUTH HWY, SUITE 201, LAWRENCEVILLE, GA 30045(770) 822-0788(770) 822-0326 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2024, Dec 1, 2020, Aug 26, 2020 (3 updates tracked since 2020).

About Dr. Jorge Pedro Leguizamo M.d. NPPES

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

DR. JORGE PEDRO LEGUIZAMO M.D. (NPI 1285612168) is an individual hematology & oncology provider in Lawrenceville, Georgia, licensed in Georgia (061479) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Columbia University College Of Physicians And Surgeons (1995).

NPPES Registry Identity

NPI1285612168
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. JORGE PEDRO LEGUIZAMOCredential: M.D.
Location Address698 DULUTH HWY, SUITE 201Lawrenceville, GA 30045-7695
Mailing Address1835 Savoy Dr Ste 203Atlanta, GA 30341-1073 · (770) 822-0788 · Fax (770) 822-0326
Phone(770) 822-0788
Fax(770) 822-0326
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1995
Enumeration DateJanuary 3, 2006
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1285612168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 061479
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
698 DULUTH HWY, Lawrenceville, GA 30045
Open in Google Maps ↗

Other Identifiers 2

Medicaid624397991DGA
Medicaid624397991EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Jorge Pedro Leguizamo 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 ID3577597301
PECOS Enrollment IDI20081120000679
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 Reassignment

Medicare enrollment records show Jorge Leguizamo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nsh Cancer Institute Professional Services G, LLC
20 mi
Hematology & Oncology
1100 JOHNSON FERRY RD NE, SUITE 600
Sandy Springs, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1144571381 (404) 256-4777

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 8

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 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.
207 services114 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.
149 services84 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
90 services52 patients
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.
29 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 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
$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.

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.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Other Providers at the Same Location NPPES

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

GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
698 DULUTH HWY, SUITE 201
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 822-0788

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 Jorge Leguizamo's NPI number?

The NPI number for Jorge Leguizamo is 1285612168. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Jorge Leguizamo located?

Jorge Leguizamo practices at 698 Duluth Hwy Suite 201, Lawrenceville, GA 30045. The listed phone number is (770) 822-0788.

What is Jorge Leguizamo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Jorge Leguizamo enrolled in Medicare?

Yes. Jorge Leguizamo 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 organization bills Medicare for Jorge Leguizamo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Leguizamo reassigns Medicare benefits to Nsh Cancer Institute Professional Services G, LLC (Sandy Springs, GA). The 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 Jorge Leguizamo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jorge Leguizamo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Jorge Leguizamo 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 Jorge Leguizamo affiliated with any hospitals?

According to CMS data, Jorge Leguizamo is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Jorge Leguizamo was last updated on August 14, 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.