MR. VIRGIL FIGUEROA CNP
NPI 1689885501
Nurse Practitioner in Canton, GA

Active since May 24, 2007PECOS Enrolled
74.22/100
CMS Quality Rating
320 HOSPITAL RD, CANTON, GA 30114(770) 479-5535(770) 720-3294 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Virgil Figueroa Cnp NPPES

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

MR. VIRGIL FIGUEROA CNP (NPI 1689885501) is an individual nurse practitioner in Canton, Georgia, licensed in Georgia (RN144625) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689885501
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. VIRGIL FIGUEROACredential: CNP
Location Address320 HOSPITAL RDCanton, GA 30114-2432
Mailing Address320 Hospital RdCanton, GA 30114-2432 · (770) 479-5535 · Fax (770) 479-8821
Fax(770) 720-3294
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 8, 2016
NPI 1689885501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN144625
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License RN144625 (GA)
320 HOSPITAL RD, Canton, GA 30114

Other Identifiers 3

Medicaid003142145AGA
Medicare UPINQ27118
Medicare PIN20250I9205GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Virgil Figueroa Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.
200 services117 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.
69 services54 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
36 services17 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.
27 services27 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
16 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30114 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
$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.

74.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.1
Promoting Interoperability76
Improvement Activities40
Cost61.97

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.

Physical Therapist
320 HOSPITAL RD
CANTON, GA 30114
Internal Medicine
320 HOSPITAL RD
CANTON, GA 30114
Family Medicine
320 HOSPITAL RD
CANTON, GA 30114
Nurse Practitioner
320 HOSPITAL RD
CANTON, GA 30114
Nurse Practitioner
320 HOSPITAL RD
CANTON, GA 30114
Internal Medicine
320 HOSPITAL RD
CANTON, GA 30114
Dietitian, Registered
320 HOSPITAL RD
CANTON, GA 30114
Family Medicine
320 HOSPITAL RD
CANTON, GA 30114

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 Virgil Figueroa's NPI number?

The NPI number for Virgil Figueroa is 1689885501. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Virgil Figueroa located?

Virgil Figueroa practices at 320 Hospital Rd, Canton, GA 30114. The listed phone number is (770) 479-5535.

What is Virgil Figueroa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Virgil Figueroa enrolled in Medicare?

Yes. Virgil Figueroa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Virgil Figueroa was last updated on December 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.