JAMES H FRANK MD
NPI 1669436143
Ophthalmology - Retina Specialist in Atlanta, GA

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
87.78/100
CMS Quality Rating
3225 CUMBERLAND BLVD SE STE 800, ATLANTA, GA 30339(404) 351-2220(404) 352-5392 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James H Frank Md NPPES

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

JAMES H FRANK MD (NPI 1669436143) is an individual retina specialist in Atlanta, Georgia, licensed in Georgia (041558) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1990).

NPPES Registry Identity

NPI1669436143
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameJAMES H FRANKCredential: MD
Location Address3225 CUMBERLAND BLVD SE STE 800Atlanta, GA 30339-5970
Mailing Address3225 Cumberland Blvd Se, Suite 900Atlanta, GA 30339-6407 · (404) 351-2220 · Fax (404) 355-5624
Fax(404) 352-5392
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1990
Enumeration DateApril 13, 2006
Last NPPES UpdateMarch 8, 2019
NPI 1669436143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in GA · 041558
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 041558 (GA)
3225 CUMBERLAND BLVD SE STE 800, Atlanta, GA 30339

Other Identifiers 1

Medicaid000702589AGA

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

James H Frank 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 ID1557486172
PECOS Enrollment IDI20100920000123
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 17

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
2,400 services20 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,343 services194 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
2,147 services601 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,688 services262 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
852 services602 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
465 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30339 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.

87.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
74%238 patients3/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%485 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 686 patients
Patients screened: 93% · 686 patients
81%31 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%73 patients
Provide Patients Electronic Access to Their Health Information
97%898 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.

Other Providers at the Same Location NPPES 7

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

Ophthalmology
3225 CUMBERLAND BLVD SE STE 800
ATLANTA, GA 30339
Ophthalmology
3225 CUMBERLAND BLVD SE STE 800
ATLANTA, GA 30339
Ophthalmology
3225 CUMBERLAND BLVD SE STE 800
ATLANTA, GA 30339
Ophthalmology (Glaucoma Specialist)
3225 CUMBERLAND BLVD SE STE 800
ATLANTA, GA 30339
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
3225 CUMBERLAND BLVD SE STE 800
ATLANTA, GA 30339
Ophthalmology
3225 CUMBERLAND BLVD SE STE 800
ATLANTA, GA 30339
Ophthalmology
3225 CUMBERLAND BLVD SE STE 800
ATLANTA, GA 30339

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 James Frank's NPI number?

The NPI number for James Frank is 1669436143. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is James Frank located?

James Frank practices at 3225 Cumberland Blvd SE Ste 800, Atlanta, GA 30339. The listed phone number is (404) 351-2220.

What is James Frank's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is James Frank enrolled in Medicare?

Yes. James Frank 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 James Frank 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 James Frank 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.

When was this NPI record last updated?

The NPPES record for James Frank was last updated on March 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.