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CHARLES W FICCO O.D.
NPI 1841284346
Optometrist in Cumming, GA

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
77.57/100
CMS Quality Rating
970 SANDERS RD STE 100, CUMMING, GA 30041(678) 381-2020(678) 381-2015 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2019, Sep 26, 2016 (2 updates tracked since 2016).

About Charles W Ficco O.d. NPPES

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

CHARLES W FICCO O.D. (NPI 1841284346) is an individual optometrist in Cumming, Georgia, licensed in Georgia (OPT01583) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Morrow, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1841284346
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCHARLES W FICCOCredential: O.D.
Location Address970 SANDERS RD STE 100Cumming, GA 30041
Mailing Address1300 Peachtree Industrial Blvd Ste 1201Suwanee, GA 30024-4550 · (678) 381-2020 · Fax (678) 381-2015
Phone(678) 381-2020
Fax(678) 381-2015
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 12, 2005
Last NPPES UpdateOctober 22, 20192 updates tracked since enumeration
✔ NPI 1841284346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT01583
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
970 SANDERS RD STE 100, Cumming, GA 30041
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Secondary Practice Location 1

Location 11000 Corporate Center Dr, Ste 100Morrow, GA 30260-4180 · Phone (770) 968-8888 · Fax (770) 960-2473

Other Identifiers 2

OtherC16012GA · Railroad Medicare
Medicaid000741815AGA

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

Charles W Ficco O.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 ID2163695339
PECOS Enrollment IDI20111103000363
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 12

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.
873 services760 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
432 services381 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.
187 services154 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
184 services151 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
152 services152 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
137 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

77.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40
Cost29.42

Other Providers at the Same Location NPPES 2

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

DR. GINA BORGNINI O.D.
Optometrist
970 SANDERS RD STE 100
CUMMING, GA 30041
Forsyth County (678) 381-2020
THE INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC
Pain Medicine (Interventional Pain Medicine)
970 SANDERS RD STE 100
CUMMING, GA 30041
Forsyth County (404) 920-4950

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 Charles Ficco's NPI number?

The NPI number for Charles Ficco is 1841284346. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Charles Ficco located?

Charles Ficco practices at 970 Sanders Rd Ste 100, Cumming, GA 30041. The listed phone number is (678) 381-2020.

What is Charles Ficco's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Charles Ficco enrolled in Medicare?

Yes. Charles Ficco 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 Charles Ficco 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 Charles Ficco 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.

When was this NPI record last updated?

The NPPES record for Charles Ficco was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.