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JAIME ENRIQUE VENGOECHEA BARRIOS M.D.
NPI 1376723619
Medical Genetics - Clinical Genetics (M.D.) in Atlanta, GA

Active since November 04, 2007PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE # A1500, ATLANTA, GA 30322(404) 778-8570(404) 778-8562 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2021, Nov 16, 2015 (2 updates tracked since 2015).

About Jaime Enrique Vengoechea Barrios M.d. NPPES

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

JAIME ENRIQUE VENGOECHEA BARRIOS M.D. (NPI 1376723619) is an individual clinical genetics (m.d.) provider in Atlanta, Georgia, licensed in Georgia (74420) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1376723619
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameJAIME ENRIQUE VENGOECHEA BARRIOSCredential: M.D.
Location Address1365 CLIFTON RD NE # A1500Atlanta, GA 30322-5307
Mailing Address1365 Clifton Rd Ne Ste A1500Atlanta, GA 30322-1013
Phone(404) 778-8570
Fax(404) 778-8562
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 4, 2007
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1376723619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Licenses✔ Licensed in GA · 74420✔ Licensed in OH · 57.012772✔ Licensed in AR · E-7386
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.012772 (OH)
1365 CLIFTON RD NE # A1500, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Jaime Enrique Vengoechea Barrios 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 ID4789848110
PECOS Enrollment IDI20150924002637
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 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Jaime Vengoechea Barrios's NPI number?

The NPI number for Jaime Vengoechea Barrios is 1376723619. It was assigned to this individual provider in the NPPES registry on November 4, 2007.

Where is Jaime Vengoechea Barrios located?

Jaime Vengoechea Barrios practices at 1365 Clifton Rd NE # A1500, Atlanta, GA 30322. The listed phone number is (404) 778-8570.

What is Jaime Vengoechea Barrios's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Jaime Vengoechea Barrios enrolled in Medicare?

Yes. Jaime Vengoechea Barrios 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 Jaime Vengoechea Barrios accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jaime Vengoechea Barrios 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 Jaime Vengoechea Barrios affiliated with any hospitals?

According to CMS data, Jaime Vengoechea Barrios is affiliated with Emory Decatur Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Jaime Vengoechea Barrios was last updated on February 2, 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.