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MICHAEL OFORI M.D
NPI 1811302839
Emergency Medicine in Riverdale, GA

Active since June 28, 2014PECOS EnrolledAccepts Medicare Assignment
90.44/100
CMS Quality Rating
11 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(770) 994-9326 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 21, 2017 and 1 more (4 updates tracked since 2017).

About Michael Ofori M.d NPPES

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

MICHAEL OFORI M.D (NPI 1811302839) is an individual emergency medicine provider in Riverdale, Georgia, licensed in Georgia (78145) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newnan Hospital, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811302839
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL OFORICredential: M.D
Location Address11 UPPER RIVERDALE RD SWRiverdale, GA 30274-2615
Mailing Address390 17th Street, Unit 2061Atlanta (and Vicinity), GA 30363-3912 · (423) 650-5519
Phone(770) 994-9326
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2014
Enumeration DateJune 28, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1811302839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 78145
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11 UPPER RIVERDALE RD SW, Riverdale, GA 30274
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13635 Vista AveSaint Louis, MO 63110-2539 · Phone (314) 577-8780
Location 211 upper RiverdaleAtlanta (and vicinity), GA 30274 · Phone (770) 991-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Michael Ofori 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 ID648572073
PECOS Enrollment IDI20171004001136
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

5

Medicare enrollment records show Michael Ofori reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Regional Physicians Management Group, LLC
0.1 mi
Surgery
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 111 clinicians in this Medicare group
NPI 1043677271 (770) 991-8000
Walker Lake Emergency Group, PC
23 mi
Emergency Medicine
1412 MILSTEAD AVE NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 85 clinicians in this Medicare group
NPI 1437629342 (770) 918-3000
Coweta Emergency Group LLC
28 mi
Emergency Medicine
60 HOSPITAL RD
Newnan, GA 30263
  • Reassigned Medicare billing, Georgia enrollment
  • 110 clinicians in this Medicare group
NPI 1245556588 (770) 253-1912
Lagrange Emergency Physicians, LLC
54 mi
Emergency Medicine
1514 VERNON RD
Lagrange, GA 30240
  • Reassigned Medicare billing, Georgia enrollment
  • 144 clinicians in this Medicare group
NPI 1760437560 (706) 882-1411
Small Hospital Innovations LLC
513 mi
Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Georgia enrollment
  • 65 clinicians in this Medicare group
NPI 1184040560 (305) 204-9318

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
370 services340 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
326 services291 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
110 services105 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
105 services102 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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
$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.

90.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Improvement Activities40
Cost66.71

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.

KAREN KRECHMERY NP
Nurse Practitioner
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 994-9326
GEORGIA HOSPITALISTS GROUP, LLC
Hospitalist
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 991-8000
SOUTHERN REGIONAL PHYSICIANS MANAGEMENT GROUP, LLC
Surgery
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 991-8000
HARMONY GROVE EMERGENCY PHYSICIANS LLC
Emergency Medicine
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (973) 251-1132
DR. NANCY ELIZABETH NEWTON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 991-8615
DR. LILIAN OMO ODION-OMONHIMIN MD
Student in an Organized Health Care Education/Training Program
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 991-8026
NATASHA SMITH MD
Emergency Medicine
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 994-9326
SOUTH SOUND INPATIENT PHYSICIANS, PLLC
Hospitalist
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 991-8000

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 Michael Ofori's NPI number?

The NPI number for Michael Ofori is 1811302839. It was assigned to this individual provider in the NPPES registry on June 28, 2014.

Where is Michael Ofori located?

Michael Ofori practices at 11 Upper Riverdale Rd SW, Riverdale, GA 30274. The listed phone number is (770) 994-9326.

What is Michael Ofori's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Ofori enrolled in Medicare?

Yes. Michael Ofori 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 Michael Ofori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ofori reassigns Medicare benefits to 5 organizations: Southern Regional Physicians Management Group, LLC (Riverdale, GA), Walker Lake Emergency Group, PC (Conyers, GA), Coweta Emergency Group LLC (Newnan, GA), Lagrange Emergency Physicians, LLC (Lagrange, GA) and Small Hospital Innovations LLC (Clewiston, FL). 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 Michael Ofori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Ofori accept?

Health plans from Oscar Health and Oscar Insurance Company list Michael Ofori 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 Michael Ofori affiliated with any hospitals?

According to CMS data, Michael Ofori is affiliated with Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Michael Ofori was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.