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CARL LOKKO MD
NPI 1346506359
Surgery in Calhoun, GA

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
1035 RED BUD RD NE STE 200, CALHOUN, GA 30701(706) 602-8300(706) 625-6955 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2020, Dec 18, 2018, Sep 25, 2018 and 2 more (5 updates tracked since 2016).

About Carl Lokko Md NPPES

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

CARL LOKKO MD (NPI 1346506359) is an individual surgery provider in Calhoun, Georgia, licensed in Georgia (075397) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Harvard Medical School (2012).

NPPES Registry Identity

NPI1346506359
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCARL LOKKOCredential: MD
Location Address1035 RED BUD RD NE STE 200Calhoun, GA 30701-6010
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703 · (706) 602-7800
Phone(706) 602-8300
Fax(706) 625-6955
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2012
Enumeration DateApril 3, 2012
Last NPPES UpdateJanuary 2, 20205 updates tracked since enumeration
✔ NPI 1346506359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 075397
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1035 RED BUD RD NE STE 200, Calhoun, GA 30701
Open in Google Maps ↗

Other Identifiers 2

Medicaid003211432BGA
Medicaid003211432AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Carl Lokko 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 ID3476855651
PECOS Enrollment IDI20190214001982
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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 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.
23 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services15 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.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services12 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.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost69.57

Other Providers at the Same Location NPPES 5

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

DR. BRITON PENN JORDAN M.D.
Surgery
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300
PATRICK HUNTER MEYER M.D.
Surgery
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300
MS. JEANA HANDLEY FNP-C
Nurse Practitioner (Family)
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300
MR. JOEL CRAIG BOX MD
Surgery
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300
MR. WILLIAM LEON THEUS MD
Surgery
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300

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 Carl Lokko's NPI number?

The NPI number for Carl Lokko is 1346506359. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Carl Lokko located?

Carl Lokko practices at 1035 Red Bud Rd NE Ste 200, Calhoun, GA 30701. The listed phone number is (706) 602-8300.

What is Carl Lokko's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Carl Lokko enrolled in Medicare?

Yes. Carl Lokko 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 Carl Lokko accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Carl Lokko 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 Carl Lokko affiliated with any hospitals?

According to CMS data, Carl Lokko is affiliated with Adventhealth Gordon and Adventhealth Murray.

When was this NPI record last updated?

The NPPES record for Carl Lokko was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.