DR. FRANK KEVIN YOUNG M.D.
NPI 1861464091
Internal Medicine in Macon, GA

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
85.02/100
CMS Quality Rating
330 HOSPITAL DR, BLDG C, STE 200, MACON, GA 31217(478) 745-1191(478) 752-3869 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Frank Kevin Young M.d. NPPES

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

DR. FRANK KEVIN YOUNG M.D. (NPI 1861464091) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (047382) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Wake Forest University School Of Medicine (1996).

NPPES Registry Identity

NPI1861464091
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. FRANK KEVIN YOUNGCredential: M.D.
Location Address330 HOSPITAL DR, BLDG C, STE 200Macon, GA 31217-3899
Mailing Address330 Hospital Dr, Bldg C, Ste 200Macon, GA 31217-3899 · (478) 745-1191 · Fax (478) 752-3869
Fax(478) 752-3869
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1996
Enumeration DateFebruary 2, 2006
Last NPPES UpdateDecember 16, 2009
NPI 1861464091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 047382
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
330 HOSPITAL DR, Macon, GA 31217

Other Identifiers 3

Medicaid00861561FGA
Medicare UPINH09878GA
Medicare ID-Type Unspecified11BDWBDGA

Accepted 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

Dr. Frank Kevin Young 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 ID8527131937
PECOS Enrollment IDI20100902000067
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 52

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.

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,299 services150 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,286 services206 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
926 services126 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
840 services117 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
637 services156 patients
Uric acid level, blood 84550
A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.
631 services348 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

85.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Improvement Activities40
Cost54.76

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers14 claims41 services$5.59 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 17

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

Internal Medicine
330 HOSPITAL DR, STE 200 BLDG C
MACON, GA 31217
Internal Medicine
330 HOSPITAL DR, BLDG C, STE 200
MACON, GA 31217
Registered Nurse (Women's Health Care, Ambulatory)
330 HOSPITAL DR, SUITE 304
MACON, GA 31217
Internal Medicine
330 HOSPITAL DR, BUILDING C SUITE 302
MACON, GA 31217
Internal Medicine
330 HOSPITAL DR, SUITE 304
MACON, GA 31217
Internal Medicine
330 HOSPITAL DR, STE 304
MACON, GA 31217
Internal Medicine
330 HOSPITAL DR, BLDG C, STE 200
MACON, GA 31217
Surgery
330 HOSPITAL DR, SUITE 315
MACON, GA 31217

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 Frank Young's NPI number?

The NPI number for Frank Young is 1861464091. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Frank Young located?

Frank Young practices at 330 Hospital Dr Bldg C, Ste 200, Macon, GA 31217. The listed phone number is (478) 745-1191.

What is Frank Young's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Frank Young enrolled in Medicare?

Yes. Frank Young 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 Frank Young accept?

Health plans from Alliant Health Plans, Inc. list Frank Young 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 Frank Young affiliated with any hospitals?

According to CMS data, Frank Young is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center and Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Frank Young was last updated on December 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.