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DR. GARY DERUSSO II MD
NPI 1548657398
Internal Medicine - Hospice and Palliative Medicine in Austell, GA

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-3585(770) 732-3589 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2019, Jul 16, 2019, Jun 28, 2018 (3 updates tracked since 2018).

About Dr. Gary Derusso Ii Md NPPES

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

DR. GARY DERUSSO II MD (NPI 1548657398) is an individual hospice and palliative medicine provider in Austell, Georgia, licensed in Georgia (83581) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548657398
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. GARY DERUSSO IICredential: MD
Location Address3950 AUSTELL RDAustell, GA 30106
Mailing Address3950 Austell RdAustell, GA 30106-1121 · (770) 732-3585 · Fax (770) 732-3589
Phone(770) 732-3585
Fax(770) 732-3589
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 20, 2015
Last NPPES UpdateSeptember 26, 20193 updates tracked since enumeration
✔ NPI 1548657398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in GA · 83581
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
3950 AUSTELL RD, Austell, GA 30106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11250 E Marshall StRichmond, VA 23298 · Phone (804) 828-5094
Location 2Dept Of Medicine Hsc Level 16, Stony Brook HospitalStony Brook, NY 11794-0001 · Phone (631) 444-2058 · Fax (631) 444-2493

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Gary Derusso Ii 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 ID9931457322
PECOS Enrollment IDI20190910001860
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 4

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 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.
153 services86 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.
135 services133 patients
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.
118 services85 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
63 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb 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.

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

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.

MRS. JOLI ANN WILSON D.O.
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MAGGI STUART MARKWELL
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MUHAMMAD NAJEEB MBBS
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 267-2000
SEGEN MEDICAL GROUP, P.C.
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 939-3301
DR. KATHRYN SHIPP RHYNE MD
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 732-4415
MRS. NOMIKI NIKITADENA CATSULIS APRN, PNP-PC
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
DR. YOUSEF HINDI MD
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4025
MICHELLE PRESLEY
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000

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 Gary Derusso's NPI number?

The NPI number for Gary Derusso is 1548657398. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Gary Derusso located?

Gary Derusso practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-3585.

What is Gary Derusso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Gary Derusso enrolled in Medicare?

Yes. Gary Derusso 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 Gary Derusso accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Gary Derusso 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 Gary Derusso affiliated with any hospitals?

According to CMS data, Gary Derusso is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Derusso was last updated on September 26, 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.