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ALAN M. FIXELLE M.D.
NPI 1851319164
Internal Medicine - Gastroenterology in Atlanta, GA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
95.42/100
CMS Quality Rating
5669 PEACHTREE DUNWOODY RD NE, SUITE 270, ATLANTA, GA 30342(404) 255-1000(404) 847-0416 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alan M. Fixelle M.d. NPPES

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

ALAN M. FIXELLE M.D. (NPI 1851319164) is an individual gastroenterology provider in Atlanta, Georgia, licensed in Georgia (024675) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and is a graduate of New York Medical College (1980).

NPPES Registry Identity

NPI1851319164
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameALAN M. FIXELLECredential: M.D.
Location Address5669 PEACHTREE DUNWOODY RD NE, SUITE 270Atlanta, GA 30342-1786
Mailing Address5669 Peachtree Dunwoody Rd Ne, Suite 270Atlanta, GA 30342-1786 · (404) 255-1000 · Fax (404) 847-0416
Phone(404) 255-1000
Fax(404) 847-0416
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1980
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1851319164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 024675
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5669 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 8

Other00027721GA · Medicaid Ref #
Medicaid000310516DGA
Other319359GA · Wellcare
Other100015252GA · Railroad Medicare
Other30342B004Tricare
Other4213296GA · Aetna
Other15837GA · Bcbs
Other4044103Cigna

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

Alan M. Fixelle 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 ID3779500426
PECOS Enrollment IDI20051101000571
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 9

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 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.
114 services102 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
103 services102 patients
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.
85 services78 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
78 services77 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
74 services74 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
64 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$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.

95.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.95
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%137 patients5/55-star benchmark: 100%
Breast Cancer Screening
100%79 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
39%56 patients2/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%282 patients5/55-star benchmark: 100%
e-Prescribing
97%506 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%134 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%262 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%54 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims980 services$0.23 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$2.40 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims3,720 services$0.25 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims320 services$0.54 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.

MR. BARRIE DOUGLAS LOWMAN P.A.
Surgery (Vascular Surgery)
5669 PEACHTREE DUNWOODY RD NE, SUITE 100
ATLANTA, GA 30342
Fulton County (404) 256-0404
MS. MEREDITH PAGE KELLEHER M.M.SC., PA-C
Physician Assistant
5669 PEACHTREE DUNWOODY RD NE, SUITE 170
ATLANTA, GA 30342
Fulton County (404) 252-8377
DR. WILLIAM CARLISLE JACOBS MD
Internal Medicine (Cardiovascular Disease)
5669 PEACHTREE DUNWOODY RD NE, SUITE 315
ATLANTA, GA 30342
Fulton County (404) 250-6400
VEIN CENTER OF GEORGIA AT SAINT JOSEPH'S, LLC
Surgery (Vascular Surgery)
5669 PEACHTREE DUNWOODY RD NE, SUITE 155
ATLANTA, GA 30342
Fulton County (404) 246-0404
JOHN T. HORNEY M.D., P.C.
Internal Medicine (Gastroenterology)
5669 PEACHTREE DUNWOODY RD NE, SUITE 210
ATLANTA, GA 30342
Fulton County (404) 255-4333
STEPHEN CRAIG FROHWEIN MD
Internal Medicine (Cardiovascular Disease)
5669 PEACHTREE DUNWOODY RD NE, SUITE 315
ATLANTA, GA 30342
Fulton County (678) 843-6400
CARDIOVASCULAR SPECIALISTS, P.C.
Specialist
5669 PEACHTREE DUNWOODY RD NE, SUITE 170
ATLANTA, GA 30342
Fulton County (404) 252-8377
DR. PETER C. S. DAUBERMONT M.D.
Dermatology
5669 PEACHTREE DUNWOODY RD NE, SUITE 275
ATLANTA, GA 30342
Fulton County (404) 252-4001

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 Alan Fixelle's NPI number?

The NPI number for Alan Fixelle is 1851319164. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Alan Fixelle located?

Alan Fixelle practices at 5669 Peachtree Dunwoody Rd NE Suite 270, Atlanta, GA 30342. The listed phone number is (404) 255-1000.

What is Alan Fixelle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alan Fixelle enrolled in Medicare?

Yes. Alan Fixelle 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 Alan Fixelle accept?

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

According to CMS data, Alan Fixelle is affiliated with Saint Joseph's Hospital Of Atlanta, Inc and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Alan Fixelle was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.