DR. MILES ANTHONY MEDINA D.O.
NPI 1437690658
Emergency Medicine in Stockbridge, GA

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
83.62/100
CMS Quality Rating
1133 EAGLES LANDING PKWY # ER, STOCKBRIDGE, GA 30281(678) 604-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2020, Mar 20, 2017 (2 updates tracked since 2017).

About Dr. Miles Anthony Medina D.o. NPPES

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

DR. MILES ANTHONY MEDINA D.O. (NPI 1437690658) is an individual emergency medicine provider in Stockbridge, Georgia, licensed in Georgia (85502) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1437690658
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MILES ANTHONY MEDINACredential: D.O.
Location Address1133 EAGLES LANDING PKWY # ERStockbridge, GA 30281-5085
Mailing Address1133 Eagles Landing PkwyStockbridge, GA 30281-5085 · (678) 604-1000
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateJuly 8, 20202 updates tracked since enumeration
NPPES CertifiedJuly 8, 2020
NPI 1437690658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 85502
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1133 EAGLES LANDING PKWY # ER, Stockbridge, GA 30281

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. Miles Anthony Medina D.o. 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 ID2860762051
PECOS Enrollment IDI20200723002872
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
259 services252 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services65 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
52 services50 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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.

83.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.82
Improvement Activities40
Cost58.48

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 Miles Medina's NPI number?

The NPI number for Miles Medina is 1437690658. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Miles Medina located?

Miles Medina practices at 1133 Eagles Landing Pkwy # ER, Stockbridge, GA 30281. The listed phone number is (678) 604-1000.

What is Miles Medina's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Miles Medina enrolled in Medicare?

Yes. Miles Medina 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.

Is Miles Medina affiliated with any hospitals?

According to CMS data, Miles Medina is affiliated with Piedmont Henry Hospital, Piedmont Macon North Hospital and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Miles Medina was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.