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DR. NICOLE L SROKA M.D.
NPI 1861668337
Surgery in Fayetteville, GA

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
1279 HIGHWAY 54 W, SUITE 210, FAYETTEVILLE, GA 30214(770) 719-5710(678) 817-4360 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole L Sroka M.d. NPPES

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

DR. NICOLE L SROKA M.D. (NPI 1861668337) is an individual surgery provider in Fayetteville, Georgia, licensed in Georgia (57191) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2002).

NPPES Registry Identity

NPI1861668337
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. NICOLE L SROKACredential: M.D.
Location Address1279 HIGHWAY 54 W, SUITE 210Fayetteville, GA 30214-4550
Mailing Address235 Newhaven DrFayetteville, GA 30215-8607 · (678) 628-7177
Phone(770) 719-5710
Fax(678) 817-4360
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2002
Enumeration DateMay 5, 2008
Last NPPES UpdateFebruary 17, 2016
✔ NPI 1861668337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 57191
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.
1279 HIGHWAY 54 W, Fayetteville, GA 30214
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Nicole L Sroka 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 ID4880760578
PECOS Enrollment IDI20080903000506
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.
57 services52 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.
35 services33 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
26 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
21 services16 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
24%246 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
67%178 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%246 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
58%261 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
74%213 patients4/55-star benchmark: 98%
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

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier16 claims46 services$36.33 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.

TANYA DENISE BECKFORD M.D.
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
1279 HIGHWAY 54 W, SUITE 210
FAYETTEVILLE, GA 30214
Fayette County (770) 719-1299
MEMORIE MORGAN NICHOLS PA-C
Physician Assistant
1279 HIGHWAY 54 W, SUITE 210
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5710
DR. CRYSTAL O SLADE MD
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
DR. BENITA L BONSER MD
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
DR. EDWIN BELLO M.D.
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
DR. WILLIAM DARRELL MARTIN M.D.
Obstetrics & Gynecology
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200
WOMEN'S COMMUNITY CARE, PC
Obstetrics & Gynecology (Gynecology)
1279 HIGHWAY 54 W, SUITE 220
FAYETTEVILLE, GA 30214
Fayette County (770) 991-2200

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 Nicole Sroka's NPI number?

The NPI number for Nicole Sroka is 1861668337. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Nicole Sroka located?

Nicole Sroka practices at 1279 Highway 54 W Suite 210, Fayetteville, GA 30214. The listed phone number is (770) 719-5710.

What is Nicole Sroka's specialty?

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

Is Nicole Sroka enrolled in Medicare?

Yes. Nicole Sroka 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 Nicole Sroka 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 Nicole Sroka 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 Nicole Sroka affiliated with any hospitals?

According to CMS data, Nicole Sroka is affiliated with Piedmont Henry Hospital, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Nicole Sroka was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.