JOHN F. DALTON IV M.D.
NPI 1609892181
Orthopaedic Surgery - Hand Surgery in Atlanta, GA

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
34.73/100
CMS Quality Rating
2061 PEACHTREE RD NE STE 500, ATLANTA, GA 30309(404) 352-3522(404) 352-9251 Get Directions Write a Review

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John F. Dalton Iv M.d. NPPES

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

JOHN F. DALTON IV M.D. (NPI 1609892181) is an individual hand surgery provider in Atlanta, Georgia, licensed in Georgia (049488) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Emory University School Of Medicine (1999).

NPPES Registry Identity

NPI1609892181
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJOHN F. DALTON IVCredential: M.D.
Location Address2061 PEACHTREE RD NE STE 500Atlanta, GA 30309-1446
Mailing Address2061 Peachtree Rd Ne Ste 500Atlanta, GA 30309-1446 · (404) 352-3522 · Fax (404) 352-9251
Fax(404) 352-9251
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1999
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 2, 2018
NPI 1609892181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in GA · 049488
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
2061 PEACHTREE RD NE STE 500, Atlanta, GA 30309

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

John F. Dalton Iv 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 ID3971588740
PECOS Enrollment IDI20050810000669
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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
652 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
193 services129 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
155 services102 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
114 services114 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.
106 services83 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
65 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

34.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality35.87
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
55%20 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
95%2,248 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%391 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 35% · 707 patients
33%707 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 414 patients
Patients totalRate: 0% · 414 patients
0%414 patients5/55-star benchmark: 100%
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.

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$100.22 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 14

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

Occupational Therapist
2061 PEACHTREE RD NE STE 500
ATLANTA, GA 30309
Occupational Therapist (Hand)
2061 PEACHTREE RD NE STE 500
ATLANTA, GA 30309
Orthopaedic Surgery (Hand Surgery)
2061 PEACHTREE RD NE STE 500
ATLANTA, GA 30309
Occupational Therapist (Hand)
2061 PEACHTREE RD NE STE 500
ATLANTA, GA 30309
Orthopaedic Surgery (Hand Surgery)
2061 PEACHTREE RD NE STE 500
ATLANTA, GA 30309
Plastic Surgery (Surgery of the Hand)
2061 PEACHTREE RD NE STE 500
ATLANTA, GA 30309
Occupational Therapist
2061 PEACHTREE RD NE STE 500
ATLANTA, GA 30309
Occupational Therapist (Hand)
2061 PEACHTREE RD NE STE 500
ATLANTA, GA 30309

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 John Dalton's NPI number?

The NPI number for John Dalton is 1609892181. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is John Dalton located?

John Dalton practices at 2061 Peachtree Rd NE Ste 500, Atlanta, GA 30309. The listed phone number is (404) 352-3522.

What is John Dalton's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is John Dalton enrolled in Medicare?

Yes. John Dalton 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.

Is John Dalton affiliated with any hospitals?

According to CMS data, John Dalton is affiliated with Piedmont Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for John Dalton was last updated on January 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.