DR. IDI ALLEN M.D.
NPI 1700029402
Pain Medicine - Interventional Pain Medicine in Fayetteville, GA

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
101 YORKTOWN DR STE 211, FAYETTEVILLE, GA 30214(470) 481-2020 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2019, Jun 29, 2016, Mar 17, 2016 (3 updates tracked since 2016).

About Dr. Idi Allen M.d. NPPES

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

DR. IDI ALLEN M.D. (NPI 1700029402) is an individual interventional pain medicine provider in Fayetteville, Georgia, licensed in Georgia (70849) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1700029402
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. IDI ALLENCredential: M.D.
Location Address101 YORKTOWN DR STE 211Fayetteville, GA 30214-1578
Mailing Address101 Yorktown Dr Ste 211Fayetteville, GA 30214-1578 · (470) 481-2020 · Fax (770) 703-4989
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 9, 2009
Last NPPES UpdateMarch 21, 20193 updates tracked since enumeration
NPI 1700029402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in GA · 70849
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 70849 (GA)
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License 70849 (GA)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 70849 (GA)
101 YORKTOWN DR STE 211, Fayetteville, GA 30214

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. Idi Allen 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 ID2264570126
PECOS Enrollment IDI20131226000995
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.
247 services39 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
244 services40 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
34 services34 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.
16 services16 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 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 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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Pain)
101 YORKTOWN DR STE 211
FAYETTEVILLE, GA 30214

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 Idi Allen's NPI number?

The NPI number for Idi Allen is 1700029402. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Idi Allen located?

Idi Allen practices at 101 Yorktown Dr Ste 211, Fayetteville, GA 30214. The listed phone number is (470) 481-2020.

What is Idi Allen's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Idi Allen enrolled in Medicare?

Yes. Idi Allen 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.

Is Idi Allen affiliated with any hospitals?

According to CMS data, Idi Allen is affiliated with Northside Hospital Gwinnett and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Idi Allen was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.