DR. RACHEL ELIZABETH NISBET M.D.
NPI 1609051218
Internal Medicine - Pulmonary Disease in Dacula, GA

Active since January 02, 2008PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
2075 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019(770) 586-0300(770) 586-0311 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2020, Oct 3, 2019 (2 updates tracked since 2019).

About Dr. Rachel Elizabeth Nisbet M.d. NPPES

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

DR. RACHEL ELIZABETH NISBET M.D. (NPI 1609051218) is an individual pulmonary disease provider in Dacula, Georgia, licensed in Georgia (054828) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Winder.

NPPES Registry Identity

NPI1609051218
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RACHEL ELIZABETH NISBETCredential: M.D.
Location Address2075 HAMILTON CREEK PKWY STE 200Dacula, GA 30019-7285
Mailing Address2075 Hamilton Creek Pkwy Ste 200Dacula, GA 30019-7285 · (770) 586-0300
Fax(770) 586-0311
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2002
Enumeration DateJanuary 2, 2008
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
NPI 1609051218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in GA · 054828
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 054828 (GA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 054828 (GA)
2075 HAMILTON CREEK PKWY STE 200, Dacula, GA 30019

Secondary Practice Location 1

Location 130 Satellite Dr Ste 200Winder, GA 30680-6211 · Phone (770) 586-0300 · Fax (770) 586-0311

Other Identifiers 1

Medicaid551442576AGA

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

Dr. Rachel Elizabeth Nisbet 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 ID345314100
PECOS Enrollment IDI20080729000217
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 15

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,107 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
377 services217 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
298 services182 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.
168 services159 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.
165 services156 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
145 services137 patients

Hospital Affiliations CMS Care Compare 5

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30019 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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers65 claims65 services$36.08 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers20 claims40 services$1.25 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier11 claims22 services$1.08 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers12 claims12 services$10.36 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
1 supplier12 claims12 services$0.44 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers50 claims50 services$87.51 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 8

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

Nurse Practitioner (Family)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Physician Assistant (Medical)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Internal Medicine (Sleep Medicine)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Internal Medicine (Pulmonary Disease)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Internal Medicine (Pulmonary Disease)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Physician Assistant (Medical)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Internal Medicine (Pulmonary Disease)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Physician Assistant
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019

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 Rachel Nisbet's NPI number?

The NPI number for Rachel Nisbet is 1609051218. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Rachel Nisbet located?

Rachel Nisbet practices at 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019. The listed phone number is (770) 586-0300.

What is Rachel Nisbet's specialty?

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

Is Rachel Nisbet enrolled in Medicare?

Yes. Rachel Nisbet 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 Rachel Nisbet 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 Rachel Nisbet 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 Rachel Nisbet affiliated with any hospitals?

According to CMS data, Rachel Nisbet is affiliated with Northeast Georgia Medical Center, Inc, Ngmc Barrow, LLC, Piedmont Walton Hospital, Northside Hospital Gwinnett and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Nisbet was last updated on October 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.