DR. JOSEPH FRANK PENSABENE MD
NPI 1427157114
Internal Medicine - Cardiovascular Disease in Augusta, GA

Q: What is Joseph Pensabene's NPI number?

The NPI number for Joseph Pensabene is 1427157114. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Joseph Pensabene's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Pensabene was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment

90.8/100

CMS Quality Rating

1348 WALTON WAY STE 5100, AUGUSTA, GA 30901(706) 724-8611(706) 724-6202 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 15, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Joseph Frank Pensabene Md NPPES

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

DR. JOSEPH FRANK PENSABENE MD (NPI 1427157114) is an individual cardiovascular disease provider in Augusta, Georgia, licensed in Georgia (066304) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1984).

NPPES Registry Identity

NPI1427157114

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. JOSEPH FRANK PENSABENECredential: MD

Location Address1348 WALTON WAY STE 5100Augusta, GA 30901-5108

Mailing AddressPo Box 925Augusta, GA 30903-0925 · (706) 724-8611 · Fax (706) 724-6202

Phone(706) 724-8611

Fax(706) 724-6202

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1984

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1427157114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in GA · 066304

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1348 WALTON WAY STE 5100, Augusta, GA 30901

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Other Identifiers 1

Medicaid234847831AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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. Joseph Frank Pensabene 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 ID8820900236

PECOS Enrollment IDI20120105000747

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 5

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.

Ct scan of heart structure with contrast 75572

A CT scan of the heart with contrast is a non-invasive test. A dye is injected into your veins, which helps to highlight heart structures in the images. The CT scanner uses X-rays to create detailed pictures of your heart, aiding in diagnosis.

148 services141 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

44 services44 patients

Mri scan of blood flow of heart 75565

An MRI scan of the heart's blood flow is a non-invasive imaging technique. It uses a magnetic field and radio waves to create detailed images of your heart and its blood vessels. This helps in diagnosing conditions like blockages or abnormalities.

25 services24 patients

Ct scan of heart with evaluation of blood vessel calcium 75571

A CT scan of the heart with evaluation of blood vessel calcium is a non-invasive test that uses X-rays to create detailed images of your heart. It helps in detecting and measuring calcium-containing plaque in the arteries, which can indicate heart disease.

24 services24 patients

Mri scan of heart before and after contrast 75561

An MRI scan of the heart with contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed pictures of your heart. The contrast dye improves the clarity of these images. This test helps in diagnosing heart conditions.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

90.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%105 patients5/55-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.

Other Providers at the Same Location NPPES 15

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

MRS. HANNAH BEARDEN WOODARD FNP-C

Nurse Practitioner