DR. RONALD J ALVAREZ M.D.
NPI 1487734414
Specialist in Alpharetta, GA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
61.96/100
CMS Quality Rating
2365 OLD MILTON PKWY, STE 300, ALPHARETTA, GA 30009(770) 740-1860(678) 347-2104 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ronald J Alvarez M.d. NPPES

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

DR. RONALD J ALVAREZ M.D. (NPI 1487734414) is an individual specialist in Alpharetta, Georgia, licensed in Georgia (051404) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Rowan University School Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1487734414
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RONALD J ALVAREZCredential: M.D.
Location Address2365 OLD MILTON PKWY, STE 300Alpharetta, GA 30009-2140
Mailing Address80 Lacy St NwMarietta, GA 30060-1107 · (770) 427-0368 · Fax (678) 581-5969
Fax(678) 347-2104
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1992
Enumeration DateOctober 16, 2006
Last NPPES UpdateDecember 16, 2016
NPI 1487734414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 051404
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2365 OLD MILTON PKWY, Alpharetta, GA 30009

Other Identifiers 1

Medicare UPING50135GA

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 and accepts Medicare assignment

Dr. Ronald J Alvarez M.d. 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 ID749176154
PECOS Enrollment IDI20040224000240
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 15

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
373 services251 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
189 services146 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services99 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
126 services126 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
106 services11 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
81 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth 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

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.

61.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.24
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
40%134 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
95%3,705 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
4%743 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%3,348 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 7% · 1,320 patients
6%1,320 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
62%68 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 776 patients
Patients totalRate: 0% · 776 patients
0%776 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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers51 claims51 services$32.59 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers27 claims27 services$72.65 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers26 claims77 services$29.60 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers38 claims208 services$15.09 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers23 claims133 services$12.70 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers61 claims61 services$47.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Specialist
2365 OLD MILTON PKWY
ALPHARETTA, GA 30009
Physician Assistant
2365 OLD MILTON PKWY, SUITE 300
ALPHARETTA, GA 30009
Audiologist
2365 OLD MILTON PKWY, SUITE 200
ALPHARETTA, GA 30009
Audiologist
2365 OLD MILTON PKWY, SUITE 300
ALPHARETTA, GA 30009
Clinic/Center (Ambulatory Surgical)
2365 OLD MILTON PKWY, SUITE 100
ALPHARETTA, GA 30009
Clinic/Center (Ambulatory Surgical)
2365 OLD MILTON PKWY, SUITE 200
ALPHARETTA, GA 30009
Audiologist
2365 OLD MILTON PKWY, SUITE 300
ALPHARETTA, GA 30009
Specialist
2365 OLD MILTON PKWY, SUITE 300
ALPHARETTA, GA 30009

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 Ronald Alvarez's NPI number?

The NPI number for Ronald Alvarez is 1487734414. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Ronald Alvarez located?

Ronald Alvarez practices at 2365 Old Milton Pkwy Ste 300, Alpharetta, GA 30009. The listed phone number is (770) 740-1860.

What is Ronald Alvarez's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ronald Alvarez enrolled in Medicare?

Yes. Ronald Alvarez 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.

What insurance does Ronald Alvarez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ronald Alvarez 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 Ronald Alvarez affiliated with any hospitals?

According to CMS data, Ronald Alvarez is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Alvarez was last updated on December 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.