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DR. SAMUEL SZUMSTEIN M.D.
NPI 1790783603
Internal Medicine - Pulmonary Disease in Austell, GA

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3820 MEDICAL PARK DR, AUSTELL, GA 30106(770) 948-6041(770) 739-5411 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Samuel Szumstein M.d. NPPES

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

DR. SAMUEL SZUMSTEIN M.D. (NPI 1790783603) is an individual pulmonary disease provider in Austell, Georgia, licensed in Georgia (055796) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1790783603
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SAMUEL SZUMSTEINCredential: M.D.
Location Address3820 MEDICAL PARK DRAustell, GA 30106-1110
Mailing Address535 Maxham Rd, Suite AAustell, GA 30168-5541 · (770) 948-5409 · Fax (770) 948-7994
Phone(770) 948-6041
Fax(770) 739-5411
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 13, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790783603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in GA · 055796
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3820 MEDICAL PARK DR, Austell, GA 30106
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

Dr. Samuel Szumstein 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 ID7012961022
PECOS Enrollment IDI20050311000283
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

2

Medicare enrollment records show Samuel Szumstein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Specialty Hospital Billing LLC
41 mi
Internal Medicine
1266 HIGHWAY 515 S
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 317 clinicians in this Medicare group
NPI 1699290510 (770) 801-2500
Piedmont Providers LLC
43 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500

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 10

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 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.
247 services187 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.
152 services130 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.
85 services54 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
55 services55 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
53 services52 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
20 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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
$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…
44%325 patients2/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
93%94 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
30%265 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%325 patients4/55-star benchmark: 100%
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…
54%383 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
26%121 patients2/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
26 suppliers732 claims733 services$32.35 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
26 suppliers492 claims492 services$70.84 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
27 suppliers480 claims1,340 services$26.91 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
22 suppliers231 claims1,321 services$15.60 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
14 suppliers144 claims787 services$12.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
26 suppliers398 claims399 services$47.65 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 20

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

BETHANY BIXLER QUINN P.A.
Physician Assistant
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Cobb County (770) 948-6041
MS. MEGHAN R KIRKLAND PA
Physician Assistant (Medical)
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Cobb County (770) 948-6041
JAMES V WALDRON PA-C
Physician Assistant
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Cobb County (770) 948-6041
DR. STUART J SIMON M.D.
Internal Medicine (Pulmonary Disease)
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Cobb County (770) 948-6041
NATALIE I SCHMITZ PA-C
Physician Assistant
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Cobb County (770) 948-6041
CAROLE J LOVERING NP
Nurse Practitioner (Acute Care)
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Cobb County (770) 948-6041
DR. BRETT L SANDIFER M.D.
Internal Medicine (Critical Care Medicine)
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Cobb County (770) 948-6041
SHARI A SEAMAN P.A.
Physician Assistant (Medical)
3820 MEDICAL PARK DR
AUSTELL, GA 30106
Cobb County (770) 948-5409

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 Samuel Szumstein's NPI number?

The NPI number for Samuel Szumstein is 1790783603. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Samuel Szumstein located?

Samuel Szumstein practices at 3820 Medical Park Dr, Austell, GA 30106. The listed phone number is (770) 948-6041.

What is Samuel Szumstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Samuel Szumstein enrolled in Medicare?

Yes. Samuel Szumstein 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 Samuel Szumstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Szumstein reassigns Medicare benefits to 2 organizations: Piedmont Specialty Hospital Billing LLC (Jasper, GA) and Piedmont Providers LLC (Jasper, 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 Samuel Szumstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Szumstein 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 Samuel Szumstein 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 Samuel Szumstein affiliated with any hospitals?

According to CMS data, Samuel Szumstein is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Szumstein was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.