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DR. ARUNAS URBONAS M.D.
NPI 1790771004
Internal Medicine - Nephrology in Valdosta, GA

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
3564B NORTHCROSSING CIR, VALDOSTA, GA 31602(229) 247-1414(229) 247-1978 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Arunas Urbonas M.d. NPPES

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

DR. ARUNAS URBONAS M.D. (NPI 1790771004) is an individual nephrology provider in Valdosta, Georgia, licensed in Georgia (054135) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Madison County Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1790771004
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ARUNAS URBONASCredential: M.D.
Location Address3564B NORTHCROSSING CIRValdosta, GA 31602-1067
Mailing Address3564b Northcrossing CirValdosta, GA 31602-1067 · (229) 247-1414 · Fax (229) 247-1978
Phone(229) 247-1414
Fax(229) 247-1978
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 22, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1790771004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 054135
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3564B NORTHCROSSING CIR, Valdosta, GA 31602
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH55486GA
Medicare ID-Type Unspecified39BDCKNGA · Medicare Provider Number

Accepted Insurance

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

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. Arunas Urbonas 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 ID2961497466
PECOS Enrollment IDI20040415000422
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 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.
1,939 services748 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
876 services152 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
300 services74 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.
211 services127 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.
124 services124 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
110 services110 patients

Hospital Affiliations CMS Care Compare 5

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

Madison County Memorial Hospital

Critical Access Hospitals · Madison, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101311
Location224 NW Crane AveMadison, FL 32340 · Madison County
Emergency services

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA
OwnershipProprietary
CMS Certification Number110101
Location260 Mj Taylor RoadAdel, GA 31620 · Cook County
Emergency services

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Sgmc Berrien Campus

Acute Care Hospitals · Nashville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110234
Location1221 E Mcpherson AvenueNashville, GA 31639 · Berrien County
Emergency services

Sgmc Health Lanier

Critical Access Hospitals · Lakeland, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111326
Location116 West Thigpen AvenueLakeland, GA 31635 · Lanier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.05
Promoting Interoperability90
Improvement Activities40
Cost84.36

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims1,800 services$0.66 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers33 claims4,350 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims3,600 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers25 claims4,920 services$0.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers64 claims64 services$18.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers48 claims48 services$12.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ARUNAS URBONAS MD PLLC
Specialist
3564B NORTHCROSSING CIR
VALDOSTA, GA 31602
Lowndes County (229) 247-1414

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 Arunas Urbonas's NPI number?

The NPI number for Arunas Urbonas is 1790771004. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Arunas Urbonas located?

Arunas Urbonas practices at 3564B Northcrossing Cir, Valdosta, GA 31602. The listed phone number is (229) 247-1414.

What is Arunas Urbonas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Arunas Urbonas enrolled in Medicare?

Yes. Arunas Urbonas 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.

What insurance does Arunas Urbonas accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Arunas Urbonas 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 Arunas Urbonas affiliated with any hospitals?

According to CMS data, Arunas Urbonas is affiliated with Madison County Memorial Hospital, Cook Medical Center A Campus Of Tift Reg Med Ctr, Sgmc Health, Sgmc Berrien Campus and Sgmc Health Lanier.

When was this NPI record last updated?

The NPPES record for Arunas Urbonas was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.