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JOHN PATTARAS M.D.
NPI 1619905965
Urology in Atlanta, GA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365B CLIFTON RD NE, SUITE B1400, ATLANTA, GA 30322(404) 778-4898(404) 778-4006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Pattaras M.d. NPPES

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

JOHN PATTARAS M.D. (NPI 1619905965) is an individual urology provider in Atlanta, Georgia, licensed in Georgia (049077) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of George Washington University School Of Medicine (1992).

NPPES Registry Identity

NPI1619905965
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOHN PATTARASCredential: M.D.
Location Address1365B CLIFTON RD NE, SUITE B1400Atlanta, GA 30322-1013
Mailing Address2501 Brookline Cir NeAtlanta, GA 30319-3690 · (404) 636-0786 · Fax (404) 778-4006
Phone(404) 778-4898
Fax(404) 778-4006
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1992
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619905965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in GA · 049077
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1365B CLIFTON RD NE, Atlanta, GA 30322
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified34BDFJV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

John Pattaras 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 ID6507915766
PECOS Enrollment IDI20090518000295
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 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.

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.
87 services79 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.
80 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
35 services26 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.
35 services35 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
23 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers11 claims3,450 services$6.12 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.

DR. EMILY BEDRICK GRAUBART M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE B2400
ATLANTA, GA 30322
Dekalb County (404) 778-2020
DR. MICHAEL DATTILO M.D., PH.D.
Ophthalmology (Neuro-ophthalmology)
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5360
NATALIE ANN TOWNSEND O.D.
Optometrist
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2020
DR. EDWARD JOHN ATKINS M.D.
Psychiatry & Neurology (Neurology)
1365B CLIFTON RD NE, B4404
ATLANTA, GA 30322
Dekalb County (404) 778-5360
DR. GHAZALA AMIRALI DATOO O'KEEFE M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE 4400
ATLANTA, GA 30322
Dekalb County (404) 778-5163
LINDA PATRICIA KELLY M.D., FRCPC
Student in an Organized Health Care Education/Training Program
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5360
DR. DIEM K BUI M.D.
Ophthalmology
1365B CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2020
CAROLINE HILL CROMELIN M.D.
Ophthalmology
1365B CLIFTON RD NE, SUITE BT-401A
ATLANTA, GA 30322
Dekalb County (404) 778-4530

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 Pattaras's NPI number?

The NPI number for John Pattaras is 1619905965. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is John Pattaras located?

John Pattaras practices at 1365B Clifton Rd NE Suite B1400, Atlanta, GA 30322. The listed phone number is (404) 778-4898.

What is John Pattaras's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Pattaras enrolled in Medicare?

Yes. John Pattaras 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 John Pattaras accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John Pattaras 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 John Pattaras affiliated with any hospitals?

According to CMS data, John Pattaras is affiliated with Emory University Hospital, Houston Healthcare, Emory Decatur Hospital, Emory University Hospital Midtown and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for John Pattaras was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.