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ARNALDO M JIMENEZ M.D.
NPI 1669533113
Internal Medicine - Gastroenterology in Buford, GA

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
4700 NELSON BROGDON BLVD, SUITE 200, BUFORD, GA 30518(678) 546-2929(678) 546-2921 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arnaldo M Jimenez M.d. NPPES

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

ARNALDO M JIMENEZ M.D. (NPI 1669533113) is an individual gastroenterology provider in Buford, Georgia, licensed in New Jersey (MA61111) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Ponce School Of Medicine (1991).

NPPES Registry Identity

NPI1669533113
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameARNALDO M JIMENEZCredential: M.D.
Location Address4700 NELSON BROGDON BLVD, SUITE 200Buford, GA 30518-5400
Mailing Address100 Cobblestone WayAlpharetta, GA 30009-6805 · (678) 546-2929 · Fax (678) 546-2921
Phone(678) 546-2929
Fax(678) 546-2921
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1991
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
✔ NPI 1669533113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA61111
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4700 NELSON BROGDON BLVD, Buford, GA 30518
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Other Identifiers 1

Medicaid7449607NJ

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

Arnaldo M Jimenez 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 ID42335572
PECOS Enrollment IDI20131217000759
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 5

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 services95 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
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
20 services20 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
20 services20 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30518 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%736 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%3,058 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,509 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
89%2,092 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%2,000 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%1,945 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
45%2,024 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,024 patients1/55-star benchmark: 79%
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 9

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

PRINCETON DENTAL GROUP
Dentist (General Practice)
4700 NELSON BROGDON BLVD, SUITE 210
BUFORD, GA 30518
Gwinnett County (678) 730-2005
SHERWOODS DRUG SHOP INC
Pharmacy (Community/Retail Pharmacy)
4700 NELSON BROGDON BLVD, SUITE 190
BUFORD, GA 30518
Gwinnett County (770) 945-9526
JENNIFER VANHARTE PTA
Physical Therapy Assistant
4700 NELSON BROGDON BLVD, SUITE 250
SUGAR HILL, GA 30518
Gwinnett County (770) 271-3188
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Physical Therapy)
4700 NELSON BROGDON BLVD, STE 240
SUGAR HILL, GA 30518
Gwinnett County (770) 271-3188
DIPAK B PATEL M.D.
Family Medicine
4700 NELSON BROGDON BLVD, STE 180
SUGARHILL, GA 30518
Gwinnett County (770) 945-7676
ELIZABETH ARNOLD PT
Physical Therapist
4700 NELSON BROGDON BLVD, SUITE 250
BUFORD, GA 30518
Gwinnett County (770) 271-3188
MS. ALANA MICHELE VILLADA DO
Family Medicine (Adult Medicine)
4700 NELSON BROGDON BLVD
BUFORD, GA 30518
Gwinnett County (678) 341-6380
MRS. DANICA REESE ROBERTSON PHARMD
Pharmacist
4700 NELSON BROGDON BLVD, STE 190
BUFORD, GA 30518
Gwinnett County (770) 945-9526

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 Arnaldo Jimenez's NPI number?

The NPI number for Arnaldo Jimenez is 1669533113. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Arnaldo Jimenez located?

Arnaldo Jimenez practices at 4700 Nelson Brogdon Blvd Suite 200, Buford, GA 30518. The listed phone number is (678) 546-2929.

What is Arnaldo Jimenez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Arnaldo Jimenez enrolled in Medicare?

Yes. Arnaldo Jimenez 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 Arnaldo Jimenez accept?

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

According to CMS data, Arnaldo Jimenez is affiliated with Northside Hospital Forsyth and Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Arnaldo Jimenez was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.