BENADETTE KERUBO MAKORI-NELSON MD
NPI 1497913867
Hospitalist in Austell, GA

Active since June 01, 2008PECOS Enrolled
92.93/100
CMS Quality Rating
3950 AUSTELL RD, BOX 22, AUSTELL, GA 30106(470) 732-4022(470) 732-4023 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2019, Feb 25, 2016 (2 updates tracked since 2016).

About Benadette Kerubo Makori-nelson Md NPPES

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

BENADETTE KERUBO MAKORI-NELSON MD (NPI 1497913867) is an individual hospitalist provider in Austell, Georgia, licensed in Georgia (074063) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497913867
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameBENADETTE KERUBO MAKORI-NELSONCredential: MD
Location Address3950 AUSTELL RD, BOX 22Austell, GA 30106-1121
Mailing Address3950 Austell Rd, Box 22Austell, GA 30106-1121 · (470) 732-4022 · Fax (470) 732-4023
Fax(470) 732-4023
Sole ProprietorNo
Enumeration DateJune 1, 2008
Last NPPES UpdateOctober 31, 20192 updates tracked since enumeration
NPI 1497913867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 074063
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.
3950 AUSTELL RD, Austell, GA 30106

Other Names 1

Former Name (1)Benadette Kerubo Makori M.d.

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)

Benadette Kerubo Makori-nelson 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 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.
137 services69 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.
79 services49 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.
54 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$4.61 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims7,831 services$0.27 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims348 services$0.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers31 claims31 services$15.12 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$3.30 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.99 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 20

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

Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106

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 Benadette Makori-nelson's NPI number?

The NPI number for Benadette Makori-nelson is 1497913867. It was assigned to this individual provider in the NPPES registry on June 1, 2008. The provider is also known as Benadette Kerubo Makori M.D..

Where is Benadette Makori-nelson located?

Benadette Makori-nelson practices at 3950 Austell Rd Box 22, Austell, GA 30106. The listed phone number is (470) 732-4022.

What is Benadette Makori-nelson's specialty?

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

Is Benadette Makori-nelson enrolled in Medicare?

Yes. Benadette Makori-nelson is registered in the Medicare PECOS enrollment system.

What insurance does Benadette Makori-nelson accept?

Health plans from Alliant Health Plans, Inc. list Benadette Makori-nelson 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 Benadette Makori-nelson was last updated on October 31, 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.