DENNIS E CHOAT MD
NPI 1346298213
Colon & Rectal Surgery in Fayetteville, GA

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
1265 HIGHWAY 54 W STE 500B, FAYETTEVILLE, GA 30214(770) 719-5660 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 1, 2022, Oct 16, 2020, Jan 25, 2017 (3 updates tracked since 2017).

About Dennis E Choat Md NPPES

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

DENNIS E CHOAT MD (NPI 1346298213) is an individual colon & rectal surgery provider in Fayetteville, Georgia, licensed in Georgia (039069) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center - Pine Ridge, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1346298213
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDENNIS E CHOATCredential: MD
Location Address1265 HIGHWAY 54 W STE 500BFayetteville, GA 30214-4556
Mailing Address1260 Highway 54 W, Ste 100Fayetteville, GA 30214-4514 · (770) 277-4277 · Fax (770) 716-8690
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1992
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 1, 20223 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1346298213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in GA · 039069
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

1265 HIGHWAY 54 W STE 500B, Fayetteville, GA 30214

Secondary Practice Location 1

Location 11260 Highway 54 W, Ste 100Fayetteville, GA 30214-4514 · Phone (770) 277-4277 · Fax (770) 716-8690

Other Identifiers 9

Medicaid000779798GGA
Other2064Kaiser
Other5890788Aetna Non Hmo
Other1452874United Healthcare
Other6665545007Cigna Hmo
Medicaid009936605AL
Other2187122Aetna Hmo
Medicaid00779798AGA
Other52664848Bcbs

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

Dennis E Choat 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 ID7618091307
PECOS Enrollment IDI20100902000016
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 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.
85 services78 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.
64 services52 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
60 services60 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
59 services59 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.
32 services32 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

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
$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.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%93 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
79%139 patients4/55-star benchmark: 100%
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…
100%162 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
97%74 patients4/55-star benchmark: 100%
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 11

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
6 suppliers20 claims760 services$2.77 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
5 suppliers39 claims1,160 services$4.76 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
6 suppliers41 claims830 services$2.29 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
5 suppliers20 claims166 services$4.99 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers42 claims1,240 services$8.08 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers22 claims440 services$6.00 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 3

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

Surgery
1265 HIGHWAY 54 W STE 500B
FAYETTEVILLE, GA 30214
Surgery
1265 HIGHWAY 54 W STE 500B
FAYETTEVILLE, GA 30214
Surgery
1265 HIGHWAY 54 W STE 500B
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 Dennis Choat's NPI number?

The NPI number for Dennis Choat is 1346298213. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Dennis Choat located?

Dennis Choat practices at 1265 Highway 54 W Ste 500B, Fayetteville, GA 30214. The listed phone number is (770) 719-5660.

What is Dennis Choat's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Dennis Choat enrolled in Medicare?

Yes. Dennis Choat 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 Dennis Choat accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Dennis Choat 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 Dennis Choat affiliated with any hospitals?

According to CMS data, Dennis Choat is affiliated with Physicians Regional Medical Center - Pine Ridge and Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Dennis Choat was last updated on August 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.