DR. PAUL CONSTANTINE KARAGIANNIS MD
NPI 1326484213
Internal Medicine - Cardiovascular Disease in Fayetteville, GA

Active since May 17, 2013PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214(770) 716-0051(770) 716-0087 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 22, 2019, Jun 29, 2016 (2 updates tracked since 2016).

About Dr. Paul Constantine Karagiannis Md NPPES

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

DR. PAUL CONSTANTINE KARAGIANNIS MD (NPI 1326484213) is an individual cardiovascular disease provider in Fayetteville, Georgia, licensed in Georgia (83273) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White The Heart Hospital - Plano, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1326484213
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL CONSTANTINE KARAGIANNISCredential: MD
Location Address1267 HIGHWAY 54 W STE 2200Fayetteville, GA 30214-2110
Mailing Address1267 Highway 54 W Ste 2200Fayetteville, GA 30214-2110 · (770) 716-0051 · Fax (770) 716-0087
Fax(770) 716-0087
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 17, 2013
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
NPI 1326484213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in GA · 83273
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1267 HIGHWAY 54 W STE 2200, Fayetteville, GA 30214

Accepted 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

Dr. Paul Constantine Karagiannis 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 ID6305175852
PECOS Enrollment IDI20231010002323
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 21

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.
591 services355 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.
310 services310 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
204 services197 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
182 services177 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
161 services161 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
156 services156 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

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.

Nurse Practitioner (Family)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Nurse Practitioner
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Nurse Practitioner
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Physician Assistant
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Physician Assistant
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214

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 Paul Karagiannis's NPI number?

The NPI number for Paul Karagiannis is 1326484213. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Where is Paul Karagiannis located?

Paul Karagiannis practices at 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214. The listed phone number is (770) 716-0051.

What is Paul Karagiannis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Karagiannis enrolled in Medicare?

Yes. Paul Karagiannis 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 Paul Karagiannis accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Paul Karagiannis 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 Paul Karagiannis affiliated with any hospitals?

According to CMS data, Paul Karagiannis is affiliated with Baylor Scott & White The Heart Hospital - Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Paul Karagiannis was last updated on August 22, 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.