MARGARET EDELWEISZ ABATE MD
NPI 1710962113
Family Medicine in Covington, GA

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5126 HOSPITAL DR NE, COVINGTON, GA 30014(770) 385-7993 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Margaret Edelweisz Abate Md NPPES

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

MARGARET EDELWEISZ ABATE MD (NPI 1710962113) is an individual family medicine provider in Covington, Georgia, licensed in California (A96265) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Loma Linda University School Of Medicine (2003).

NPPES Registry Identity

NPI1710962113
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARGARET EDELWEISZ ABATECredential: MD
Location Address5126 HOSPITAL DR NECovington, GA 30014-2566
Mailing AddressPo Box 2779Covington, GA 30015-7779 · (770) 385-7993 · Fax (678) 625-2029
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2003
Enumeration DateDecember 8, 2005
Last NPPES UpdateOctober 9, 2014
✔ NPI 1710962113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A96265✔ Licensed in IA · 36443
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 36443 (IA)
5126 HOSPITAL DR NE, Covington, GA 30014

Other Identifiers 2

Medicaid00A962650CA
Medicare PINBJ425VCA

Accepted 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

Margaret Edelweisz Abate 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 ID3072679125
PECOS Enrollment IDI20141105001251
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 Reassignments

3

Medicare enrollment records show Margaret Abate reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5126 HOSPITAL DR NE
Covington, GA 30014
  • Reassigned Medicare billing, Georgia enrollment
  • 81 clinicians in this Medicare group
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group

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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
198 services194 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
54%311 patients3/55-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 20

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

Radiology (Vascular & Interventional Radiology)
5126 HOSPITAL DR NE, DEPARTMENT OF RADIOLOGY
COVINGTON, GA 30014
Clinic/Center (Pain)
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Internal Medicine (Critical Care Medicine)
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Internal Medicine
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Anesthesiologist Assistant
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Nurse Anesthetist, Certified Registered
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Internal Medicine
5126 HOSPITAL DR NE
COVINGTON, GA 30014
Anesthesiology
5126 HOSPITAL DR NE
COVINGTON, GA 30014

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 Margaret Abate's NPI number?

The NPI number for Margaret Abate is 1710962113. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Margaret Abate located?

Margaret Abate practices at 5126 Hospital Dr NE, Covington, GA 30014. The listed phone number is (770) 385-7993.

What is Margaret Abate's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Margaret Abate enrolled in Medicare?

Yes. Margaret Abate 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 organizations bill Medicare for Margaret Abate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Abate reassigns Medicare benefits to 3 organizations: Anemonefish Inpatient Services LLC (Covington, GA), Piedmont Hospitalist Physicians LLC (Stockbridge, GA) and Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA). Each 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 Margaret Abate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Abate accept?

Health plans from Oscar Health and Oscar Insurance Company list Margaret Abate 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 Margaret Abate affiliated with any hospitals?

According to CMS data, Margaret Abate is affiliated with Piedmont Newton Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Abate was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.