STEFAN CANACEVIC M.D
NPI 1518588631
Internal Medicine in Dalton, GA

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
92.63/100
CMS Quality Rating
1200 MEMORIAL DR, DALTON, GA 30720(706) 272-6000 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2023, Oct 13, 2020 (2 updates tracked since 2020).

About Stefan Canacevic M.d NPPES

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

STEFAN CANACEVIC M.D (NPI 1518588631) is an individual internal medicine provider in Dalton, Georgia, licensed in Georgia (97124) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518588631
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSTEFAN CANACEVICCredential: M.D
Location Address1200 MEMORIAL DRDalton, GA 30720-2529
Mailing Address1200 Memorial DrDalton, GA 30720-2529 · (706) 272-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 29, 2020
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1518588631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 97124
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1200 MEMORIAL DR, Dalton, GA 30720

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

Stefan Canacevic 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 ID7618388042
PECOS Enrollment IDI20230912003728
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
248 services232 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, Po Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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.

92.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.83 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.

Specialist
1200 MEMORIAL DR
DALTON, GA 30720
Specialist
1200 MEMORIAL DR
DALTON, GA 30720
Specialist
1200 MEMORIAL DR
DALTON, GA 30720
Anesthesiology
1200 MEMORIAL DR
DALTON, GA 30720
Nurse Practitioner (Family)
1200 MEMORIAL DR, HAMILTON MEDICAL CENTER
DALTON, GA 30720
Pathology (Anatomic Pathology & Clinical Pathology)
1200 MEMORIAL DR
DALTON, GA 30720
Nurse Practitioner (Family)
1200 MEMORIAL DR
DALTON, GA 30720
Emergency Medicine
1200 MEMORIAL DR
DALTON, GA 30720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518588631, enumerated as an "individual" on April 29, 2020.

The provider is located at 1200 MEMORIAL DR DALTON, GA 30720 and the phone number is (706) 272-6000.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.

Stefan Canacevic is affiliated with: HAMILTON MEDICAL CENTER and ADVENTHEALTH MURRAY.