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DR. IRFAN ANSARI M.D.
NPI 1316932080
Orthopaedic Surgery in Cumming, GA

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1100 NORTHSIDE FORSYTH DR, SUITE 340, CUMMING, GA 30041(770) 886-8111(770) 205-8539 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Irfan Ansari M.d. NPPES

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

DR. IRFAN ANSARI M.D. (NPI 1316932080) is an individual orthopaedic surgery provider in Cumming, Georgia, licensed in Georgia (046032) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Cincinnati College Of Medicine (1997).

NPPES Registry Identity

NPI1316932080
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. IRFAN ANSARICredential: M.D.
Location Address1100 NORTHSIDE FORSYTH DR, SUITE 340Cumming, GA 30041-6012
Mailing Address1100 Northside Forsyth Dr, Suite 340Cumming, GA 30041-6012 · (770) 886-8111 · Fax (770) 205-8539
Phone(770) 886-8111
Fax(770) 205-8539
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1997
Enumeration DateSeptember 19, 2005
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1316932080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 046032
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1100 NORTHSIDE FORSYTH DR, Cumming, GA 30041
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Other Identifiers 2

Medicare UPINH79048GA
Medicare PIN20BBFRKGA

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

Dr. Irfan Ansari 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 ID8123187267
PECOS Enrollment IDI20081105000093
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 Irfan Ansari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Resurgens, LLC
19 mi
Orthopaedic Surgery
1495 HICKORY FLAT HWY STE 200
Canton, GA 30115
  • Reassigned Medicare billing, Georgia enrollment
  • 223 clinicians in this Medicare group
NPI 1053849448 (678) 505-4455

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 13

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 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.
217 services189 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
186 services166 patients
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.
128 services108 patients
Mri scan of arm joint without contrast 73221
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
121 services114 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
118 services118 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
85 services68 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
10%1,426 patients1/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
85%6,685 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
83%2,174 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
75%737 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
85%1,757 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
26%3,940 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%3,485 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 90% · 1,428 patients
Patients tobacco: 4% · 80 patients
84%1,428 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%3,940 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%3,940 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
55%3,940 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lower extremity orthoses, not otherwise specified L2999
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$79.71 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier33 claims33 services$103.26 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.

CHAD A LEVITT MD PC
Specialist
1100 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 292-7000
JENNA LYNN FREEMAN ATC, LAT
Specialist/Technologist (Athletic Trainer)
1100 NORTHSIDE FORSYTH DR, SUITE 440
CUMMING, GA 30041
Forsyth County (678) 341-6790
DR. JOHN P GORECKI MD
Neurological Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 310
CUMMING, GA 30041
Forsyth County (678) 730-7796
JASON DAVID GRABROVAC PA-C
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Forsyth County (770) 886-8111
DR. CHANCEY B. C. WASHBURN D.M.D.
Dentist
1100 NORTHSIDE FORSYTH DR, SUITE 420
CUMMING, GA 30041
Forsyth County (678) 455-4560
DR. MATHEW LEVINE D.O.
Orthopaedic Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Forsyth County (770) 886-8111
MRS. HEATHER PETERS CPNP
Registered Nurse (Pediatrics)
1100 NORTHSIDE FORSYTH DR, STE 360
CUMMING, GA 30041
Forsyth County (770) 888-8888
STEVEN P HORNE P.A.
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 240
CUMMING, GA 30041
Forsyth County (678) 947-6440

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 Irfan Ansari's NPI number?

The NPI number for Irfan Ansari is 1316932080. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Irfan Ansari located?

Irfan Ansari practices at 1100 Northside Forsyth Dr Suite 340, Cumming, GA 30041. The listed phone number is (770) 886-8111.

What is Irfan Ansari's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Irfan Ansari enrolled in Medicare?

Yes. Irfan Ansari 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 Irfan Ansari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irfan Ansari reassigns Medicare benefits to Resurgens, LLC (Canton, 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 Irfan Ansari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irfan Ansari accept?

Health plans from Ambetter Health and Oscar Health list Irfan Ansari 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 Irfan Ansari affiliated with any hospitals?

According to CMS data, Irfan Ansari is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Irfan Ansari was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.