IRIS ALTAGRACIA CASTRO-REVOREDO M.D.
NPI 1801984562
Hospitalist in Griffin, GA

Q: What is Iris Castro-revoredo's NPI number?

The NPI number for Iris Castro-revoredo is 1801984562. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Iris Castro-revoredo's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment

94.56/100

CMS Quality Rating

601 S 8TH ST, GRIFFIN, GA 30224(770) 467-6314(770) 467-6324 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Iris Altagracia Castro-revoredo M.d. NPPES

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

IRIS ALTAGRACIA CASTRO-REVOREDO M.D. (NPI 1801984562) is an individual hospitalist provider in Griffin, Georgia, licensed in Georgia (56984) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and maintains a secondary practice location in Hampton.

NPPES Registry Identity

NPI1801984562

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameIRIS ALTAGRACIA CASTRO-REVOREDOCredential: M.D.

Location Address601 S 8TH STGriffin, GA 30224-4213

Mailing Address13957 Woolsey RdHampton, GA 30228-2246 · (770) 703-6601

Phone(770) 467-6314

Fax(770) 467-6324

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateOctober 10, 2006

Last NPPES UpdateDecember 3, 2019

✔ NPI 1801984562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in GA · 56984

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 056984 (GA)

601 S 8TH ST, Griffin, GA 30224

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Secondary Practice Location 1

Location 113957 Woolsey RdHampton, GA 30228-2246 · Phone (770) 703-6601

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

Iris Altagracia Castro-revoredo 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 ID1052312311

PECOS Enrollment IDI20070130000046

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.

Hospital Affiliations CMS Care Compare 2

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA

5/5 CMS rating

OwnershipProprietary

CMS Certification Number110233

Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30224 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.

94.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.49

Promoting Interoperability

100

Improvement Activities

Cost

75.54

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers14 claims60 services$4.75 avg. paid by Medicare

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

1 supplier13 claims13 services$213.06 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.

MISS COURTNEY RENEE STANLEY PA-C

Physician Assistant (Medical)