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DR. NICHOLAS A PIETRZAK II MD
NPI 1790792034
Family Medicine in Macon, GA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
3951 RIDGE AVE, STE B, MACON, GA 31210(478) 757-1934(478) 757-1596 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas A Pietrzak Ii Md NPPES

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

DR. NICHOLAS A PIETRZAK II MD (NPI 1790792034) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (044308) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1996).

NPPES Registry Identity

NPI1790792034
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICHOLAS A PIETRZAK IICredential: MD
Location Address3951 RIDGE AVE, STE BMacon, GA 31210-5051
Mailing Address3951 Ridge Ave, Ste BMacon, GA 31210-5051 · (478) 757-1934 · Fax (478) 757-1596
Phone(478) 757-1934
Fax(478) 757-1596
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1996
Enumeration DateAugust 1, 2006
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1790792034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 044308
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.
3951 RIDGE AVE, Macon, GA 31210
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH00697GA
Medicare ID-Type Unspecified08BBVMCGA
Medicaid00834413DGA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas A Pietrzak Ii 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 ID1850554387
PECOS Enrollment IDI20120521000587
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 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 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.
402 services127 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
312 services143 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
121 services121 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
111 services85 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.
99 services53 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
43 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$212.47 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 5

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

NICHOLAS A PIETRZAK, MD, LLC
Family Medicine
3951 RIDGE AVE, STE B
MACON, GA 31210
Bibb County (478) 757-1934
ALLERGY ASSOCIATES, PA
Allergy & Immunology
3951 RIDGE AVE, SUITE C
MACON, GA 31210
Bibb County (865) 584-8588
AMANDA J HARMON NP
Nurse Practitioner (Family)
3951 RIDGE AVE, STE B
MACON, GA 31210
Bibb County (478) 757-1934
DR. MINOR C VERNON M.D.
Pediatrics
3951 RIDGE AVE, STE A
MACON, GA 31210
Bibb County (478) 475-1006
PEDIATRIC CARE OF MACON, LLC
Pediatrics
3951 RIDGE AVE, SUITE A
MACON, GA 31210
Bibb County (478) 475-1006

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 Nicholas Pietrzak's NPI number?

The NPI number for Nicholas Pietrzak is 1790792034. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Nicholas Pietrzak located?

Nicholas Pietrzak practices at 3951 Ridge Ave Ste B, Macon, GA 31210. The listed phone number is (478) 757-1934.

What is Nicholas Pietrzak's specialty?

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

Is Nicholas Pietrzak enrolled in Medicare?

Yes. Nicholas Pietrzak 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 Nicholas Pietrzak 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 Nicholas Pietrzak 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 Nicholas Pietrzak affiliated with any hospitals?

According to CMS data, Nicholas Pietrzak is affiliated with Atrium Health Navicent The Medical Center, Coliseum Medical Centers, LLC, Dba and Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Pietrzak was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.