DR. NEIL SANJIWAN TARABADKAR MD
NPI 1649545906
Orthopaedic Surgery in Cumming, GA

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
78.14/100
CMS Quality Rating
1505 NORTHSIDE BLVD STE 3100, CUMMING, GA 30041(770) 977-7777(855) 283-8851 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2019, Oct 31, 2017 (2 updates tracked since 2017).

About Dr. Neil Sanjiwan Tarabadkar Md NPPES

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

DR. NEIL SANJIWAN TARABADKAR MD (NPI 1649545906) is an individual orthopaedic surgery provider in Cumming, Georgia, licensed in Georgia (080405) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (2012).

NPPES Registry Identity

NPI1649545906
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. NEIL SANJIWAN TARABADKARCredential: MD
Location Address1505 NORTHSIDE BLVD STE 3100Cumming, GA 30041
Mailing Address2001 Peachtree Rd Ne Ste 705Atlanta, GA 30309-1476 · (404) 355-0743 · Fax (404) 355-2136
Fax(855) 283-8851
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012
Enumeration DateMarch 19, 2012
Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
NPI 1649545906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 080405
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1505 NORTHSIDE BLVD STE 3100, Cumming, GA 30041

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. Neil Sanjiwan Tarabadkar 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 ID4789900119
PECOS Enrollment IDI20180919001214
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 16

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.
162 services138 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.
160 services140 patients
X-ray of hand, 2 views 73120
An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
83 services79 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
58 services52 patients
X-ray of wrist, 2 views 73100
An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
52 services41 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
45 services37 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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.

78.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.13
Promoting Interoperability99
Improvement Activities40
Cost67.84

Reported Quality Measures

Advance Care Plan
94%948 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
64%604 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
94%5,727 patients4/55-star benchmark: 100%
e-Prescribing
97%497 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
49%918 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%3,408 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 70% · 2,447 patients
Patients screened: 72% · 2,447 patients
55%115 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 74% · 1,337 patients
Patients screened: 81% · 1,337 patients
62%226 patients
Provide Patients Electronic Access to Their Health Information
73%2,100 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
66%32 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 967 patients
Patients totalRate: 3% · 967 patients
3%967 patients4/55-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 3

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier60 claims64 services$42.80 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier42 claims44 services$59.11 avg. paid by Medicare
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment L3984
DME-Orthotic Devices · category DF000N
1 supplier41 claims41 services$253.02 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 4

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

Orthopaedic Surgery
1505 NORTHSIDE BLVD STE 3100
CUMMING, GA 30041
Internal Medicine (Medical Oncology)
1505 NORTHSIDE BLVD STE 3100
CUMMING, GA 30041
Physician Assistant
1505 NORTHSIDE BLVD STE 3100
CUMMING, GA 30041
Nurse Practitioner (Acute Care)
1505 NORTHSIDE BLVD STE 3100
CUMMING, GA 30041

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 Neil Tarabadkar's NPI number?

The NPI number for Neil Tarabadkar is 1649545906. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Neil Tarabadkar located?

Neil Tarabadkar practices at 1505 Northside Blvd Ste 3100, Cumming, GA 30041. The listed phone number is (770) 977-7777.

What is Neil Tarabadkar's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Neil Tarabadkar enrolled in Medicare?

Yes. Neil Tarabadkar 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 Neil Tarabadkar accept?

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

According to CMS data, Neil Tarabadkar is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Neil Tarabadkar was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.