RICARDO J DELGADO MD
NPI 1467414466
Pathology - Anatomic Pathology in Lawrenceville, GA

Active since April 05, 2006PECOS Enrolled
89.97/100
CMS Quality Rating
1000 MEDICAL CENTER BLVD, DEPARTMENT OF PATHOLOGY, LAWRENCEVILLE, GA 30046(678) 442-4321 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2019, Aug 31, 2016 (2 updates tracked since 2016).

About Ricardo J Delgado Md NPPES

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

RICARDO J DELGADO MD (NPI 1467414466) is an individual anatomic pathology provider in Lawrenceville, Georgia, licensed in Georgia (36956) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467414466
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameRICARDO J DELGADOCredential: MD
Location Address1000 MEDICAL CENTER BLVD, DEPARTMENT OF PATHOLOGYLawrenceville, GA 30046-7694
Mailing AddressPo Box 1686Indianapolis, IN 46206-1686 · (317) 614-9863 · Fax (706) 232-0156
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateOctober 16, 20192 updates tracked since enumeration
NPI 1467414466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in GA · 36956
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

Other Names 1

Other Name (5)Richard G Delgado Md

Other Identifiers 1

Medicaid00698156AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ricardo J Delgado Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
288 services143 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
138 services35 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
64 services58 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
49 services38 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
42 services15 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
39 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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.

89.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.5
Improvement Activities40

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.

Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Adult Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046

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 Ricardo Delgado's NPI number?

The NPI number for Ricardo Delgado is 1467414466. It was assigned to this individual provider in the NPPES registry on April 5, 2006. The provider is also known as Richard G Delgado MD.

Where is Ricardo Delgado located?

Ricardo Delgado practices at 1000 Medical Center Blvd Department Of Pathology, Lawrenceville, GA 30046. The listed phone number is (678) 442-4321.

What is Ricardo Delgado's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Ricardo Delgado enrolled in Medicare?

Yes. Ricardo Delgado is registered in the Medicare PECOS enrollment system.

What insurance does Ricardo Delgado accept?

Health plans from Oscar Insurance Company list Ricardo Delgado 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.

When was this NPI record last updated?

The NPPES record for Ricardo Delgado was last updated on October 16, 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.