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TSUNG MING HSU M.D.
NPI 1821295171
Family Medicine - Hospice and Palliative Medicine in Atlanta, GA

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
94.86/100
CMS Quality Rating
1968 PEACHTREE RD NW, ATLANTA, GA 30309(404) 605-5000 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Jul 19, 2024, Sep 27, 2022 and 4 more (7 updates tracked since 2016).

About Tsung Ming Hsu M.d. NPPES

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

TSUNG MING HSU M.D. (NPI 1821295171) is an individual hospice and palliative medicine provider in Atlanta, Georgia, licensed in Georgia (062220) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1821295171
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameTSUNG MING HSUCredential: M.D.
Location Address1968 PEACHTREE RD NWAtlanta, GA 30309-1281
Mailing Address3320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · (706) 353-2990 · Fax (706) 353-2992
Phone(404) 605-5000
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateJune 29, 2007
Last NPPES UpdateFebruary 3, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1821295171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in GA · 062220
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 62220 (GA)
1968 PEACHTREE RD NW, Atlanta, GA 30309
Open in Google Maps ↗

Other Names 1

Other Name (5)Jonathan Tsung Ming Hsu M.d.

Secondary Practice Locations 8

Location 1677 Church Street 310 BuildingMarietta, GA 30060 · Phone (877) 354-1821
Location 23320 Old Jefferson Rd Bldg 700Athens, GA 30607-1465 · Phone (706) 353-2990 · Fax (706) 353-2992
Location 33320 Old Jefferson Rd Bldg 300Athens, GA 30607-1400 · Phone (706) 353-2990 · Fax (706) 353-2992
Location 43320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · Phone (706) 353-2990 · Fax (706) 353-2992
Location 54182 Highway 278 NECovington, GA 30014-2494 · Phone (706) 353-2990 · Fax (706) 353-2992
Location 6355 Clear Creek Pkwy Ste 2007Lavonia, GA 30553-4271 · Phone (706) 356-2934
Location 71460 Resurgence DrWatkinsville, GA 30677-7320 · Phone (706) 715-2410 · Fax (706) 353-2992
Location 81199 Prince AveAthens, GA 30606-2797 · Phone (706) 475-7000 · Fax (706) 475-6676

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

Tsung Ming Hsu 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 ID9931251857
PECOS Enrollment IDI20090723000250
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

6

Medicare enrollment records show Tsung Hsu reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Athens Hospitalist Physicians LLC
0.1 mi
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
NPI 1578079000 (404) 367-3014
Peachtree Hospice Of Georgia, LLC
23 mi
Hospice and Palliative Medicine
354 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 42 clinicians in this Medicare group
NPI 1255788436 (678) 583-2269
Sb Healthcare, LLC
24 mi
Hospice Care, Community Based
2000 RIVERSIDE PKWY, SUITE 107
Lawrenceville, GA 30043
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1003273095 (678) 878-3215
Piedmont Specialty Hospital Billing LLC
44 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
University Cancer & Blood Center LLC
58 mi
Hematology & Oncology
3320 OLD JEFFERSON RD BLDG 800
Athens, GA 30607
  • Reassigned Medicare billing, Georgia enrollment
  • 72 clinicians in this Medicare group
NPI 1346343761 (706) 353-2990
Columbus Ambulatory Healthcare Services, Inc.
98 mi
Family Medicine
1800 10TH AVE
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 391 clinicians in this Medicare group
NPI 1790733244 (706) 571-1120

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 7

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.
366 services115 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
82 services44 patients
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.
64 services64 patients
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.
42 services27 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
30 services22 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.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

94.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability92
Improvement Activities40

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.

TRACY PURCELL NICHOLAS NP
Nurse Practitioner (Acute Care)
1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309
Fulton County (404) 605-4602
JINAL ACHYUTKUMAR KHAMAR CAA
Anesthesiology
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 605-5000
BRITTANY R BARRON
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 451-0960
ELIZABETH ELOISE COTTEN PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 367-3014
DEBORA LOU COURSEY-PRAH MD
Radiology (Diagnostic Radiology)
1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309
Fulton County (404) 605-5000
CAROLINE MCCOY ANP-BC
Nurse Practitioner (Adult Health)
1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309
Fulton County (404) 605-4358
CHARITA MERCHANT CRNA
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (678) 216-0771
TAYLOR JONES PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (470) 788-1010

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 Tsung Hsu's NPI number?

The NPI number for Tsung Hsu is 1821295171. It was assigned to this individual provider in the NPPES registry on June 29, 2007. The provider is also known as Jonathan Tsung Ming Hsu M.D..

Where is Tsung Hsu located?

Tsung Hsu practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 605-5000.

What is Tsung Hsu's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Tsung Hsu enrolled in Medicare?

Yes. Tsung Hsu 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 Tsung Hsu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tsung Hsu reassigns Medicare benefits to 6 organizations: Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA), Peachtree Hospice Of Georgia, LLC (Stockbridge, GA), Sb Healthcare, LLC (Lawrenceville, GA), Piedmont Specialty Hospital Billing LLC (Jasper, GA), University Cancer & Blood Center LLC (Athens, GA) and 1 more organization, listed in the Medicare section above. 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 Tsung Hsu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tsung Hsu 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 Tsung Hsu 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 Tsung Hsu affiliated with any hospitals?

According to CMS data, Tsung Hsu is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tsung Hsu was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.