DR. EMILIO A LACAYO MD
NPI 1346337078
Hospitalist in Atlanta, GA

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
105 COLLIER RD NW, SUITE 1030, ATLANTA, GA 30309(404) 350-3860(404) 609-7660 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2017, Mar 25, 2016 (2 updates tracked since 2016).

About Dr. Emilio A Lacayo Md NPPES

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

DR. EMILIO A LACAYO MD (NPI 1346337078) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (039615) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1346337078
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. EMILIO A LACAYOCredential: MD
Location Address105 COLLIER RD NW, SUITE 1030Atlanta, GA 30309-1710
Mailing Address105 Collier Rd Nw, Suite 1030Atlanta, GA 30309-1710 · (404) 350-3860 · Fax (404) 609-7660
Fax(404) 609-7660
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 21, 20172 updates tracked since enumeration
NPI 1346337078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 039615
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 039615 (GA)
105 COLLIER RD NW, Atlanta, GA 30309

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. Emilio A Lacayo 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 ID7113090341
PECOS Enrollment IDI20080813000049
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.

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.
710 services329 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.
467 services244 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.
141 services141 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
117 services88 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
54 services53 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
45 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$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.

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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
14%210 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
78%150 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
7%46 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 95% · 20 patients
96%25 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%211 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…
86%225 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
78%214 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
75%100 patients4/55-star benchmark: 98%
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 3

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
6 suppliers15 claims60 services$6.06 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,980 services$1.75 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
3 suppliers16 claims16 services$184.28 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.

Specialist
105 COLLIER RD NW, SUITE 1080
ATLANTA, GA 30309
Internal Medicine (Nephrology)
105 COLLIER RD NW, SUITE 3040
ATLANTA, GA 30309
Nurse Practitioner
105 COLLIER RD NW, SUITE 5040
ATLANTA, GA 30309
Obstetrics & Gynecology
105 COLLIER RD NW, SUITE 1080
ATLANTA, GA 30309
Internal Medicine
105 COLLIER RD NW, STE 2070
ATLANTA, GA 30309
Psychiatry & Neurology (Neurology)
105 COLLIER RD NW, SUITE 5030
ATLANTA, GA 30309
Internal Medicine
105 COLLIER RD NW, SUITE 1000
ATLANTA, GA 30309
Internal Medicine
105 COLLIER RD NW, SUITE 2070
ATLANTA, GA 30309

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 Emilio Lacayo's NPI number?

The NPI number for Emilio Lacayo is 1346337078. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Emilio Lacayo located?

Emilio Lacayo practices at 105 Collier Rd NW Suite 1030, Atlanta, GA 30309. The listed phone number is (404) 350-3860.

What is Emilio Lacayo's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Emilio Lacayo enrolled in Medicare?

Yes. Emilio Lacayo 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 Emilio Lacayo accept?

Health plans from Alliant Health Plans, Inc. list Emilio Lacayo 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 Emilio Lacayo affiliated with any hospitals?

According to CMS data, Emilio Lacayo is affiliated with Piedmont Hospital, Piedmont Henry Hospital, Piedmont Eastside Medical Center, Piedmont Fayette Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Emilio Lacayo was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.