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CESAR AUGUSTO SANTANA MD, PHD
NPI 1366628232
Nuclear Medicine - Nuclear Imaging & Therapy in Decatur, GA

Active since January 10, 2008PECOS Enrolled
94.56/100
CMS Quality Rating
3315 FRANCINE DR, DECATUR, GA 30033(770) 908-1464 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2021, Apr 26, 2021, Mar 23, 2016 (3 updates tracked since 2016).

About Cesar Augusto Santana Md, Phd NPPES

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

CESAR AUGUSTO SANTANA MD, PHD (NPI 1366628232) is an individual nuclear imaging & therapy provider in Decatur, Georgia, licensed in Florida (ME107263) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366628232
Entity TypeIndividualMale
Primary Taxonomy207UN0902X
Provider Legal NameCESAR AUGUSTO SANTANACredential: MD, PHD
Location Address3315 FRANCINE DRDecatur, GA 30033-3321
Mailing Address3315 Francine DrDecatur, GA 30033-3321 · (770) 908-1464
Phone(770) 908-1464
Sole ProprietorYes
Enumeration DateJanuary 10, 2008
Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1366628232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNuclear Medicine · Nuclear Imaging & TherapyAllopathic & Osteopathic Physicians
Taxonomy Code207UN0902X
Licenses✔ Licensed in FL · ME107263✔ Licensed in GA · 002706
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
3315 FRANCINE DR, Decatur, GA 30033
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cesar Augusto Santana Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Cesar Santana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc
8.4 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
71 services71 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
36 services34 patients
Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431
This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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 Cesar Santana's NPI number?

The NPI number for Cesar Santana is 1366628232. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is Cesar Santana located?

Cesar Santana practices at 3315 Francine Dr, Decatur, GA 30033. The listed phone number is (770) 908-1464.

What is Cesar Santana's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Imaging & Therapy, with taxonomy code 207UN0902X.

Is Cesar Santana enrolled in Medicare?

Yes. Cesar Santana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cesar Santana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cesar Santana reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cesar Santana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cesar Santana accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Molina Healthcare and Oscar Health and 1 other insurer list Cesar Santana 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.

When was this NPI record last updated?

The NPPES record for Cesar Santana was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.