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JUAN M SARMIENTO MD
NPI 1851314371
Surgery in Atlanta, GA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-5985 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Juan M Sarmiento Md NPPES

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

JUAN M SARMIENTO MD (NPI 1851314371) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (052823) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1851314371
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJUAN M SARMIENTOCredential: MD
Location Address1365 CLIFTON RD NEAtlanta, GA 30322-1013
Mailing Address1365 Clifton Rd NeAtlanta, GA 30322-1013 · (404) 778-5985
Phone(404) 778-5985
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 29, 2007
✔ NPI 1851314371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 052823
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1365 CLIFTON RD NE, Atlanta, GA 30322
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Other Identifiers 7

Other2301321GA · United Healthcare
Other3182745GA · Us Healthcare
OtherP00006137GA · Railroad Medicare
Other841385GA · Bcbs
Medicare ID-Type Unspecified02BBGKDGA
OtherY 20030801GA · Phcs
Medicare UPING82780001GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Juan M Sarmiento 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 ID9931376175
PECOS Enrollment IDI20120111000646
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 3

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.
41 services34 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.
39 services39 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 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.72 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.

CHHAYA J GANDHI PA-C
Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Dekalb County (404) 778-3914
ELIZABETH IKEDA
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-8311
MS. NIVES KERAN PA-C
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-1900
DR. ALVIN R SOLOMON M.D.
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Dekalb County (404) 727-3669
LINDSAY C GRAMER PAAA
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5000
SACHIN PARIKH MD
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Dekalb County (404) 778-1856
JULIE SCHNEIDER LEVY ACNP
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
GERARD M MCGORISK MD
Internal Medicine (Cardiovascular Disease)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5299

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 Juan Sarmiento's NPI number?

The NPI number for Juan Sarmiento is 1851314371. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Juan Sarmiento located?

Juan Sarmiento practices at 1365 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-5985.

What is Juan Sarmiento's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Juan Sarmiento enrolled in Medicare?

Yes. Juan Sarmiento 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 Juan Sarmiento accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Juan Sarmiento 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 Juan Sarmiento affiliated with any hospitals?

According to CMS data, Juan Sarmiento is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Juan Sarmiento was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.