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MARIO A AGUINAGA AGACNP-DNP
NPI 1477285864
Nurse Practitioner - Acute Care in Athens, GA

Active since June 26, 2022PECOS Enrolled
100/100
CMS Quality Rating
199 PRINCE AVE, ATHENS, GA 30601(706) 475-7000 Get Directions Write a Review

NPPES record last updated: June 26, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mario A Aguinaga Agacnp-dnp NPPES

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

MARIO A AGUINAGA AGACNP-DNP (NPI 1477285864) is an individual acute care provider in Athens, Georgia, licensed in Georgia (RN269637) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477285864
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMARIO A AGUINAGACredential: AGACNP-DNP
Location Address199 PRINCE AVEAthens, GA 30601-2400
Mailing Address3581 Gaines Mill RdGainesville, GA 30507-8073 · (678) 629-1626
Phone(706) 475-7000
Sole ProprietorNo
Enumeration DateJune 26, 2022
NPPES CertifiedJune 26, 2022
✔ NPI 1477285864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in GA · RN269637
199 PRINCE AVE, Athens, GA 30601
Open in Google Maps ↗

Other Identifiers 1

OtherRN269637GA · Georgia Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario A Aguinaga Agacnp-dnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Mario Aguinaga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Athens Pulmonary And Allergy, P.C.
2.6 mi
Pulmonary Disease
3320 OLD JEFFERSON RD, BLDG 200 SUITE A
Athens, GA 30607
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
NPI 1649337510 (706) 549-5560

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30601 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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 Mario Aguinaga's NPI number?

The NPI number for Mario Aguinaga is 1477285864. It was assigned to this individual provider in the NPPES registry on June 26, 2022.

Where is Mario Aguinaga located?

Mario Aguinaga practices at 199 Prince Ave, Athens, GA 30601. The listed phone number is (706) 475-7000.

What is Mario Aguinaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mario Aguinaga enrolled in Medicare?

Yes. Mario Aguinaga is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mario Aguinaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Aguinaga reassigns Medicare benefits to Athens Pulmonary And Allergy, P.C. (Athens, GA). The 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 Mario Aguinaga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mario Aguinaga was last updated on June 26, 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.