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DR. SERGIO F QUIJANO M.D.
NPI 1609033216
Internal Medicine - Gastroenterology in Cumming, GA

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290, CUMMING, GA 30040(404) 446-0600(404) 446-0601 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 8, 2022, Oct 10, 2018 (2 updates tracked since 2018).

About Dr. Sergio F Quijano M.d. NPPES

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

DR. SERGIO F QUIJANO M.D. (NPI 1609033216) is an individual gastroenterology provider in Cumming, Georgia, licensed in Georgia (72628) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of New York University School Of Medicine (2007).

NPPES Registry Identity

NPI1609033216
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SERGIO F QUIJANOCredential: M.D.
Location Address4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290Cumming, GA 30040-3005
Mailing Address4150 Deputy Bill Cantrell Memorial Rd, Suite 290Cumming, GA 30040-3005 · (404) 446-0600 · Fax (404) 446-0601
Phone(404) 446-0600
Fax(404) 446-0601
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2007
Enumeration DateMay 21, 2008
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1609033216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 72628
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4150 DEPUTY BILL CANTRELL MEMORIAL RD, Cumming, GA 30040
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sergio F Quijano 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 ID2365635307
PECOS Enrollment IDI20150204001639
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sergio Quijano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newco Gi LLC
Same address
Gastroenterology
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
Cumming, GA 30040
  • Reassigned Medicare billing, Georgia enrollment
  • 17 clinicians in this Medicare group
NPI 1073999066 (404) 446-0600
Hamilton Physician Group Inc
64 mi
Cardiovascular Disease
1107 MEMORIAL DR STE 302
Dalton, GA 30720
  • Reassigned Medicare billing, Georgia enrollment
  • 178 clinicians in this Medicare group
NPI 1235455569 (706) 529-6015

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
59 services59 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
48 services48 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
37 services37 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.
32 services24 patients
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.
19 services19 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
40%463 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,398 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
71%869 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%702 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%568 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%913 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
84%341 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%568 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%568 patients1/55-star benchmark: 79%
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.

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. HIRAL N PATEL RPA-C
Physician Assistant (Medical)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
DR. TYLER INCHUL AN D.O.
Internal Medicine (Gastroenterology)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
CUMMING, GA 30040
Forsyth County (404) 446-0600
NEWCO GI LLC
Internal Medicine (Gastroenterology)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
CUMMING, GA 30040
Forsyth County (404) 446-0600
ERIN EILEEN YARD APRN FNP-C
Nurse Practitioner (Family)
4150 DEPUTY BILL CANTRELL MEMORIAL RD
CUMMING, GA 30040
Forsyth County (404) 446-0600
LAURA ANN WYNN BS
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
LAURA M GENONE AUD
Audiologist
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
DR. JOSEPH ANTHONY SCIARRINO M.D.
Otolaryngology
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
DR. MARK B VANDEUSEN M.D.
Otolaryngology
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045

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 Sergio Quijano's NPI number?

The NPI number for Sergio Quijano is 1609033216. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Sergio Quijano located?

Sergio Quijano practices at 4150 Deputy Bill Cantrell Memorial Rd Suite 290, Cumming, GA 30040. The listed phone number is (404) 446-0600.

What is Sergio Quijano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sergio Quijano enrolled in Medicare?

Yes. Sergio Quijano 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.

Which organizations bill Medicare for Sergio Quijano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Quijano reassigns Medicare benefits to 2 organizations: Newco Gi LLC (Cumming, GA) and Hamilton Physician Group Inc (Dalton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sergio Quijano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Quijano accept?

Health plans from Alliant Health Plans, Inc. list Sergio Quijano 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 Sergio Quijano affiliated with any hospitals?

According to CMS data, Sergio Quijano is affiliated with Hamilton Medical Center.

When was this NPI record last updated?

The NPPES record for Sergio Quijano was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.