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DR. JYOTI MANEKAR M.D.
NPI 1417980558
Family Medicine in Duluth, GA

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
3790 PLEASANT HILL RD STE 250, DULUTH, GA 30096(678) 312-6200(678) 312-6226 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2020, Dec 18, 2015 (2 updates tracked since 2015).

About Dr. Jyoti Manekar M.d. NPPES

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

DR. JYOTI MANEKAR M.D. (NPI 1417980558) is an individual family medicine provider in Duluth, Georgia, licensed in Georgia (57099) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1417980558
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JYOTI MANEKARCredential: M.D.
Location Address3790 PLEASANT HILL RD STE 250Duluth, GA 30096-5150
Mailing Address3790 Pleasant Hill Rd Ste 250Duluth, GA 30096-5150 · (678) 312-6200 · Fax (678) 312-6226
Phone(678) 312-6200
Fax(678) 312-6226
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 9, 2006
Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
✔ NPI 1417980558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 57099
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3790 PLEASANT HILL RD STE 250, Duluth, GA 30096
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Other Names 1

Former Name (1)Dr. Jyoti Madhukarrao Naikude Md

Other Identifiers 8

Medicaid577079261BGA
Other7144975GA · Aetna
Other5240401P01GA · Cigna
Other793647GA · Humana
Other2653535GA · United Health Care
Other332767GA · Wellcare Of Georgia
Other08CBCNJGA · Medicare Part B
Other52209884-001GA · Bcbs Of Georgia

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

Dr. Jyoti Manekar 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 ID244231983
PECOS Enrollment IDI20070124000335
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 4

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 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.
35 services27 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.
31 services24 patients
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.
14 services14 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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

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

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers41 claims104 services$6.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims24 services$1.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$86.28 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$18.34 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers17 claims98 services$2.32 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers13 claims13 services$24.02 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

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

DR. BENJAMIN FLINK M.D.
Surgery
3790 PLEASANT HILL RD STE 250
DULUTH, GA 30096
Gwinnett County (678) 312-6200

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 Jyoti Manekar's NPI number?

The NPI number for Jyoti Manekar is 1417980558. It was assigned to this individual provider in the NPPES registry on July 9, 2006. The provider is also known as Dr. Jyoti Madhukarrao Naikude MD.

Where is Jyoti Manekar located?

Jyoti Manekar practices at 3790 Pleasant Hill Rd Ste 250, Duluth, GA 30096. The listed phone number is (678) 312-6200.

What is Jyoti Manekar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jyoti Manekar enrolled in Medicare?

Yes. Jyoti Manekar 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 Jyoti Manekar accept?

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

According to CMS data, Jyoti Manekar is affiliated with Northside Hospital Cherokee, Northside Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Jyoti Manekar was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.