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DR. SCOTT D STEINBERG M.D.
NPI 1790773786
Surgery in Decatur, GA

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1045 SYCAMORE DR, 2ND FLOOR, DECATUR, GA 30030(404) 501-7081(404) 419-1680 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott D Steinberg M.d. NPPES

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

DR. SCOTT D STEINBERG M.D. (NPI 1790773786) is an individual surgery provider in Decatur, Georgia, licensed in Georgia (051770) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1995).

NPPES Registry Identity

NPI1790773786
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SCOTT D STEINBERGCredential: M.D.
Location Address1045 SYCAMORE DR, 2ND FLOORDecatur, GA 30030-1645
Mailing Address1045 Sycamore Dr, 2nd FloorDecatur, GA 30030-1645 · (404) 501-7081 · Fax (404) 419-1680
Phone(404) 501-7081
Fax(404) 419-1680
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1995
Enumeration DateOctober 12, 2005
Last NPPES UpdateMay 3, 2011
✔ NPI 1790773786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 051770
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1045 SYCAMORE DR, Decatur, GA 30030
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Other Identifiers 3

Medicare UPINH49663GA
Medicaid315704078AGA
Medicare ID-Type Unspecified02BDHXLGA

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. Scott D Steinberg 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 ID5092749234
PECOS Enrollment IDI20050927000074
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.

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.
54 services54 patients
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.
49 services40 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.
28 services15 patients
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281
This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.
15 services15 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

AMERICAN CURRENT CARE P.A .
Clinic/Center (Urgent Care)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 254-0961
OCCUPATIONAL HEALTH CENTERS OF GEORGIA, P.C.
Clinic/Center (Occupational Medicine)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 254-0961
JULIE F MCGILL MD
Surgery
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 501-7081
SURGICAL ASSOCIATES, LLC
Surgery
1045 SYCAMORE DR, 2ND FLOOR
DECATUR, GA 30030
Dekalb County (404) 501-7081
FAMILY CARE CENTERS TRUST
Family Medicine (Adult Medicine)
1045 SYCAMORE DR, ADMINSTRATION
DECATUR, GA 30030
Dekalb County (404) 501-4272
FAMILY CARE CENTERS TRUST
Family Medicine (Adult Medicine)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 501-4272
DR. YONATAN ESHETU PT, DPT
Physical Therapist (Orthopedic)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 254-0961
SHAINUL K BHATIA M.D.
Family Medicine (Adult Medicine)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 501-4270

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 Scott Steinberg's NPI number?

The NPI number for Scott Steinberg is 1790773786. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Scott Steinberg located?

Scott Steinberg practices at 1045 Sycamore Dr 2nd Floor, Decatur, GA 30030. The listed phone number is (404) 501-7081.

What is Scott Steinberg's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Scott Steinberg enrolled in Medicare?

Yes. Scott Steinberg 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 Scott Steinberg accept?

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

According to CMS data, Scott Steinberg is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Scott Steinberg was last updated on May 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.