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LUCIA F COTTEN MD
NPI 1710480579
Internal Medicine - Endocrinology, Diabetes & Metabolism in Athens, GA

Active since March 17, 2018PECOS EnrolledAccepts Medicare Assignment
72.81/100
CMS Quality Rating
2470 DANIELLS BRIDGE RD STE 221, ATHENS, GA 30606(706) 389-3180(706) 389-3181 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2023, Mar 7, 2023, Mar 17, 2018 (3 updates tracked since 2018).

About Lucia F Cotten Md NPPES

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

LUCIA F COTTEN MD (NPI 1710480579) is an individual endocrinology, diabetes & metabolism provider in Athens, Georgia, licensed in Georgia (96839) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1710480579
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameLUCIA F COTTENCredential: MD
Location Address2470 DANIELLS BRIDGE RD STE 221Athens, GA 30606-6188
Mailing AddressPo Box 48089Athens, GA 30604-8089 · (706) 389-3740
Phone(706) 389-3180
Fax(706) 389-3181
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2018
Enumeration DateMarch 17, 2018
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1710480579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in GA · 96839
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2470 DANIELLS BRIDGE RD STE 221, Athens, GA 30606
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucia F Cotten 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 ID4587913850
PECOS Enrollment IDI20230911002305
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.

Medicare Billing Reassignment

Medicare enrollment records show Lucia Cotten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Mary's Medical Group, Inc.
Same address
Orthopaedic Surgery
2470 DANIELLS BRIDGE RD STE 301
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 114 clinicians in this Medicare group
NPI 1154117190 (706) 389-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
142 services90 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
100 services40 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.
76 services76 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services29 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.
40 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services27 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

72.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.2
Promoting Interoperability78
Improvement Activities40
Cost62.51

Other Providers at the Same Location NPPES

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

JULIA BAILEY
Dietitian, Registered
2470 DANIELLS BRIDGE RD STE 221
ATHENS, GA 30606
Clarke County (706) 389-3180

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 Lucia Cotten's NPI number?

The NPI number for Lucia Cotten is 1710480579. It was assigned to this individual provider in the NPPES registry on March 17, 2018.

Where is Lucia Cotten located?

Lucia Cotten practices at 2470 Daniells Bridge Rd Ste 221, Athens, GA 30606. The listed phone number is (706) 389-3180.

What is Lucia Cotten's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Lucia Cotten enrolled in Medicare?

Yes. Lucia Cotten 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.

Which organization bills Medicare for Lucia Cotten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucia Cotten reassigns Medicare benefits to St. Mary's Medical Group, Inc. (Athens, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucia Cotten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucia Cotten 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 Lucia Cotten 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 Lucia Cotten affiliated with any hospitals?

According to CMS data, Lucia Cotten is affiliated with St Mary's Hospital, Ty Cobb Regional Medical Center, LLC, Piedmont Athens Regional Medical Center and St. Mary's Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Lucia Cotten was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.