ERIC J BETTS M.D.
NPI 1336132679
Family Medicine in La Fayette, GA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
611 E VILLANOW ST, LA FAYETTE, GA 30728(706) 638-1606(706) 638-9987 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric J Betts M.d. NPPES

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

ERIC J BETTS M.D. (NPI 1336132679) is an individual family medicine provider in La Fayette, Georgia, licensed in Georgia (82964) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Ohio State University College Of Medicine (1998).

NPPES Registry Identity

NPI1336132679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC J BETTSCredential: M.D.
Location Address611 E VILLANOW STLa Fayette, GA 30728-2618
Mailing Address1949 Gunbarrel Rd Ste 206Chattanooga, TN 37421-7133 · (423) 495-4345 · Fax (423) 495-4934
Fax(706) 638-9987
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1998
Enumeration DateAugust 23, 2005
Last NPPES UpdateMay 29, 2020
NPPES CertifiedMay 29, 2020
NPI 1336132679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in GA · 82964 Licensed in IN · 01050866A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

611 E VILLANOW ST, La Fayette, GA 30728

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

Eric J Betts 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 ID8224014261
PECOS Enrollment IDI20040629000677, I20190930002763, I20200114003655
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 15

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.
362 services206 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
329 services187 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
128 services13 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
95 services11 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.
85 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
78 services78 patients

Hospital Affiliations CMS Care Compare 3

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110236
Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County
Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30728 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers37 claims82 services$6.70 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier14 claims14 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers16 claims16 services$1.20 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims12 services$60.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$169.80 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 8

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

Family Medicine
611 E VILLANOW ST
LA FAYETTE, GA 30728
Nurse Practitioner (Family)
611 E VILLANOW ST
LA FAYETTE, GA 30728
Family Medicine
611 E VILLANOW ST
LA FAYETTE, GA 30728
Family Medicine
611 E VILLANOW ST
LA FAYETTE, GA 30728
Physician Assistant
611 E VILLANOW ST
LA FAYETTE, GA 30728
Non-Pharmacy Dispensing Site
611 E VILLANOW ST
LA FAYETTE, GA 30728
Nurse Practitioner (Family)
611 E VILLANOW ST
LA FAYETTE, GA 30728
Nurse Practitioner (Family)
611 E VILLANOW ST
LA FAYETTE, GA 30728

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 Eric Betts's NPI number?

The NPI number for Eric Betts is 1336132679. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Eric Betts located?

Eric Betts practices at 611 E Villanow St, La Fayette, GA 30728. The listed phone number is (706) 638-1606.

What is Eric Betts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Betts enrolled in Medicare?

Yes. Eric Betts 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 Eric Betts accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Eric Betts 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 Eric Betts affiliated with any hospitals?

According to CMS data, Eric Betts is affiliated with Hamilton Medical Center, Chi Memorial Hospital- Georgia and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Eric Betts was last updated on May 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.