CHARLES ADAM DECOOK MD
NPI 1386794113
Orthopaedic Surgery in Cumming, GA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
79.43/100
CMS Quality Rating
2000 HOWARD FARM DR STE 200, CUMMING, GA 30041(770) 292-6500(770) 292-6535 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Aug 10, 2020, Aug 7, 2020 and 1 more (4 updates tracked since 2018).

About Charles Adam Decook Md NPPES

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

CHARLES ADAM DECOOK MD (NPI 1386794113) is an individual orthopaedic surgery provider in Cumming, Georgia, licensed in Georgia (63576) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Rush Medical College Of Rush University (2002).

NPPES Registry Identity

NPI1386794113
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCHARLES ADAM DECOOKCredential: MD
Location Address2000 HOWARD FARM DR STE 200Cumming, GA 30041-6081
Mailing Address2000 Howard Farm Dr Ste 200Cumming, GA 30041-6081 · (770) 292-6500 · Fax (770) 292-6535
Fax(770) 292-6535
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2002
Enumeration DateJanuary 12, 2007
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
NPI 1386794113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in GA · 63576 Licensed in VA · 0101245422
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 200301449 (NC)
2000 HOWARD FARM DR STE 200, Cumming, GA 30041

Other Identifiers 16

Medicaid509140519CGA
Other557507GA · Wellcare
Medicaid89136RRNC
Other9485152GA · Aetna
Other0101245422VA · License
Medicaid509140519AGA
OtherP01659745GA · Rr Medicare
Medicaid509140519OGA
Other52241691GA · Bcbs
Other7493615GA · Cigna
OtherP00903599GA · Medicare Railroad
Other01353242GA · Amerigroup
Medicaid509140519QGA
Medicaid509140519BGA
Medicaid509140519PGA
OtherP01726634GA · Rr Medicare

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

Charles Adam Decook 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 ID3779562244
PECOS Enrollment IDI20100921000349
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 14

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.

X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
434 services429 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.
407 services407 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
346 services325 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
345 services332 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.
284 services258 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.
246 services246 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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.

79.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.6
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
98%2,214 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
53%679 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
38%195 patients3/55-star benchmark: 98%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
28%1,258 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%863 patients3/55-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

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier13 claims13 services$76.54 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 10

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

Orthopaedic Surgery
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Orthopaedic Surgery
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Orthopaedic Surgery
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Orthopaedic Surgery
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Physician Assistant
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Physician Assistant
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041
Physician Assistant (Surgical)
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041

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 Charles Decook's NPI number?

The NPI number for Charles Decook is 1386794113. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Charles Decook located?

Charles Decook practices at 2000 Howard Farm Dr Ste 200, Cumming, GA 30041. The listed phone number is (770) 292-6500.

What is Charles Decook's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Decook enrolled in Medicare?

Yes. Charles Decook 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 Charles Decook accept?

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

According to CMS data, Charles Decook is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northeast Georgia Medical Center, Inc, Union General Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Charles Decook was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.