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ANDREW H MILBY MD
NPI 1396063640
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Smyrna, GA

Active since May 12, 2010PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
3903 S COBB DR SE, SMYRNA, GA 30080(404) 778-3350(404) 778-6548 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2021, Jan 22, 2020, Sep 17, 2017 and 2 more (5 updates tracked since 2016).

About Andrew H Milby Md NPPES

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

ANDREW H MILBY MD (NPI 1396063640) is an individual orthopaedic surgery of the spine provider in Smyrna, Georgia, licensed in Georgia (76442) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2010).

NPPES Registry Identity

NPI1396063640
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameANDREW H MILBYCredential: MD
Location Address3903 S COBB DR SESmyrna, GA 30080-8504
Mailing Address3903 S Cobb Dr SeSmyrna, GA 30080-8504 · (404) 778-3350 · Fax (404) 778-6548
Phone(404) 778-3350
Fax(404) 778-6548
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2010
Enumeration DateMay 12, 2010
Last NPPES UpdateFebruary 10, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1396063640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in GA · 76442
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD452869 (PA), 76442 (GA)
3903 S COBB DR SE, Smyrna, GA 30080
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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

Andrew H Milby 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 ID9830497411
PECOS Enrollment IDI20160815000528
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 11

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.

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.
166 services112 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
70 services47 patients
X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
47 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services33 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
37 services23 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
34 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

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

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.

GEORGIA SPINE SPECIALISTS
Specialist
3903 S COBB DR SE, STE 105
SMYRNA, GA 30080
Cobb County (678) 838-6600
WEST ATLANTA WOMEN'S HEALTH, LLC
Obstetrics & Gynecology
3903 S COBB DR SE, #230
SMYRNA, GA 30080
Cobb County (770) 444-9981
DR. CHITRA JANA KANYADAN MD
Hospitalist
3903 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 434-0710
MEGAN ALLEN CSW
Social Worker (Clinical)
3903 S COBB DR SE, SUITE 235
SMYRNA, GA 30080
Cobb County (770) 667-3877
MRS. CHRISTINE LINDA WASILEWSKI APRN-C
Nurse Practitioner (Family)
3903 S COBB DR SE
SMYRNA, GA 30080
Cobb County (770) 434-1904
DAWN MARIE WOLAK ANP-BC
Nurse Practitioner (Adult Health)
3903 S COBB DR SE, SUITE 110
SMYRNA, GA 30080
Cobb County (404) 778-6532
VICTORIA LORD CARR PA
Physician Assistant (Surgical)
3903 S COBB DR SE
SMYRNA, GA 30080
Cobb County (404) 251-2112
MR. ANTHONY T. WADE PA-C
Physician Assistant
3903 S COBB DR SE
SMYRNA, GA 30080
Cobb County (678) 838-6600

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 Andrew Milby's NPI number?

The NPI number for Andrew Milby is 1396063640. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Andrew Milby located?

Andrew Milby practices at 3903 S Cobb Dr SE, Smyrna, GA 30080. The listed phone number is (404) 778-3350.

What is Andrew Milby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Andrew Milby enrolled in Medicare?

Yes. Andrew Milby 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 Andrew Milby accept?

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

According to CMS data, Andrew Milby is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Grady Memorial Hospital and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Andrew Milby was last updated on February 10, 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.