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JANA DOPSON ILLSTON M.D.
NPI 1780904896
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Alpharetta, GA

Active since June 11, 2010Opted out of Medicare · through Mar 8, 2028
11975 MORRIS RD STE 310, ALPHARETTA, GA 30005(770) 752-0824(770) 752-0845 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jana Dopson Illston M.d. NPPES

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

JANA DOPSON ILLSTON M.D. (NPI 1780904896) is an individual urogynecology and reconstructive pelvic surgery provider in Alpharetta, Georgia, licensed in Georgia (78039) and active in the NPI registry since June 2010. She has opted out of Medicare through March 8, 2028 and remains eligible to order and refer and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1780904896
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameJANA DOPSON ILLSTONCredential: M.D.
Location Address11975 MORRIS RD STE 310Alpharetta, GA 30005-4444
Mailing Address5780 Peachtree Dunwoody Rd Ste 300Atlanta, GA 30342-1513 · (404) 303-8035 · Fax (404) 303-1325
Phone(770) 752-0824
Fax(770) 752-0845
Sole ProprietorYes
Enumeration DateJune 11, 2010
Last NPPES UpdateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1780904896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in GA · 78039
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 078039 (GA)
11975 MORRIS RD STE 310, Alpharetta, GA 30005
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Secondary Practice Location 1

Location 1980 Johnson Fy Rd NE Ste 720Atlanta, GA 30342-1628 · Phone (404) 252-3898 · Fax (404) 843-0719

Other Identifiers 2

OtherGRP3569GA · Medicare
Medicaid300034164AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jana Dopson Illston M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 8, 2024 through March 8, 2028.

Opt-Out Effective DateMarch 8, 2024
Opt-Out In Effect ThroughMarch 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30005 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
66%613 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
84%554 patients
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.
91%2,113 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
79%159 patients4/55-star benchmark: 88%
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.
98%358 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.
8%1,280 patients1/55-star benchmark: 97%
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…
44%1,191 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 718 patients
97%718 patients4/55-star benchmark: 98%
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…
100%1,280 patients5/55-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…
74%1,280 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
80%1,280 patients
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 2

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

SITRA MEKONNEN M.D.
Obstetrics & Gynecology
11975 MORRIS RD STE 310
ALPHARETTA, GA 30005
Fulton County (770) 752-0824
COLLEEN POLLITZER BURMAN MD
Obstetrics & Gynecology
11975 MORRIS RD STE 310
ALPHARETTA, GA 30005
Fulton County (770) 752-0824

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 Jana Illston's NPI number?

The NPI number for Jana Illston is 1780904896. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Jana Illston located?

Jana Illston practices at 11975 Morris Rd Ste 310, Alpharetta, GA 30005. The listed phone number is (770) 752-0824.

What is Jana Illston's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Jana Illston enrolled in Medicare?

No. Jana Illston has opted out of Medicare through March 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jana Illston accept?

Health plans from Oscar Insurance Company list Jana Illston 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.

When was this NPI record last updated?

The NPPES record for Jana Illston was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.