DR. NED OKARTER MD
NPI 1457679037
Hospitalist in Atlanta, GA

Active since May 06, 2010PECOS EnrolledAccepts Medicare Assignment
1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 851-8000(404) 303-3759 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2019, Jun 10, 2019, Apr 9, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Ned Okarter Md NPPES

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

DR. NED OKARTER MD (NPI 1457679037) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (83624) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1457679037
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. NED OKARTERCredential: MD
Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342-1606
Mailing Address441 Ninth Avenue, 3rd Floor Acpny CredentialingNew York, NY 10001 · (646) 680-2888 · Fax (516) 542-5556
Fax(404) 303-3759
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 6, 2010
Last NPPES UpdateDecember 13, 20195 updates tracked since enumeration
✔ NPI 1457679037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in GA · 83624✔ Licensed in NY · 272762
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2727262 (NY)
1000 JOHNSON FERRY RD, Atlanta, GA 30342

Secondary Practice Locations 4

Location 1181 E 119th St Apt Ph2ENew York, NY 10035-4069 · Phone (201) 694-7260
Location 22215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300
Location 3600 Northern BlvdAlbany, NY 12204-1004 · Phone (518) 471-3221
Location 4315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ned Okarter 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 ID345470894
PECOS Enrollment IDI20191031002399
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Ned Okarter reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 783 clinicians in this Medicare group
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
Family Medicine
3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 131 clinicians in this Medicare group
Family Medicine
2250 MARIETTA BLVD, SUITE 306
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
Hospitalist
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 343 clinicians in this Medicare group
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
Multi-Specialty
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
Audiologist
1240 NEW SCOTLAND ROAD, SUITE 100
Slingerlands, NY 12159
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
554 services233 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
128 services127 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
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 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
83%82 patients4/55-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 20

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

Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Nuclear Medicine
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Nurse Practitioner (Family)
1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Hospitalist
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Radiology (Neuroradiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Physician Assistant (Medical)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342

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 Ned Okarter's NPI number?

The NPI number for Ned Okarter is 1457679037. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Ned Okarter located?

Ned Okarter practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-8000.

What is Ned Okarter's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ned Okarter enrolled in Medicare?

Yes. Ned Okarter 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.

Which organizations bill Medicare for Ned Okarter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ned Okarter reassigns Medicare benefits to 10 organizations: North Atlanta Professional Services LLC (Atlanta, GA), The Southeast Permanente Medical Group (Atlanta, GA), Georgia Mso LLC (Atlanta, GA), Westside Urgent Care LLC (Atlanta, GA), 24 On Physicians, PC (Rome, GA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ned Okarter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ned Okarter accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Ned Okarter 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 Ned Okarter affiliated with any hospitals?

According to CMS data, Ned Okarter is affiliated with Adventhealth Gordon and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ned Okarter was last updated on December 13, 2019. 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.