DR. GERALDO ENRIQUE HOLGUIN TERRERO MD
NPI 1528360765
Internal Medicine - Pulmonary Disease in Conyers, GA

Q: What is Geraldo Holguin Terrero's NPI number?

The NPI number for Geraldo Holguin Terrero is 1528360765. It was assigned to this individual provider in the NPPES registry on November 20, 2010. The provider is also known as Dr. Geraldo Enrique Holguin Terrero M.D..

Q: What is Geraldo Holguin Terrero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since November 20, 2010PECOS EnrolledAccepts Medicare Assignment

94.7/100

CMS Quality Rating

1412 MILSTEAD AVE NE, CONYERS, GA 30012(404) 350-0009(404) 350-0280 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Geraldo Enrique Holguin Terrero Md NPPES

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

DR. GERALDO ENRIQUE HOLGUIN TERRERO MD (NPI 1528360765) is an individual pulmonary disease provider in Conyers, Georgia, licensed in Georgia (79228) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1528360765

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. GERALDO ENRIQUE HOLGUIN TERREROCredential: MD

Location Address1412 MILSTEAD AVE NEConyers, GA 30012-3877

Mailing AddressPo Box 102847Atlanta, GA 30368-2847 · (770) 801-2500

Phone(404) 350-0009

Fax(404) 350-0280

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateNovember 20, 2010

Last NPPES UpdateMarch 22, 2021

NPPES CertifiedMarch 22, 2021

✔ NPI 1528360765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in GA · 79228✔ Licensed in TN · 54325

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1412 MILSTEAD AVE NE, Conyers, GA 30012

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Other Names 1

Other Name (5)Dr. Geraldo Enrique Holguin Terrero M.d.

Other Identifiers 1

Other698866NY · Medicaid Management Information System

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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. Geraldo Enrique Holguin Terrero Md 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 ID9436320926

PECOS Enrollment IDI20160816000040, I20180910000479

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 11

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

234 services145 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.

74 services54 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

51 services49 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

43 services42 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

36 services34 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.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number110236

Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County

Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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.

94.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.41

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers11 claims26 services$1.57 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier14 claims14 services$920.37 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.

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