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DR. JOHN LOUIS-UGBO SR. M.D.
NPI 1902083629
Orthopaedic Surgery in Decatur, GA

Active since January 24, 2008PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1670 CLAIRMONT RD, DECATUR, GA 30033(404) 321-6111 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Louis-ugbo Sr. M.d. NPPES

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

DR. JOHN LOUIS-UGBO SR. M.D. (NPI 1902083629) is an individual orthopaedic surgery provider in Decatur, Georgia, licensed in Georgia (063090) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902083629
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN LOUIS-UGBO SR.Credential: M.D.
Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004
Mailing Address1670 Clairmont RdDecatur, GA 30033-4004 · (404) 514-8976
Phone(404) 321-6111
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 24, 2008
Last NPPES UpdateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1902083629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 063090
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 063090 (GA)
1670 CLAIRMONT RD, Decatur, GA 30033
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Secondary Practice Locations 2

Location 149 Jesse Hill Drive, Suite 307Atlanta, GA 30303 · Phone (404) 778-1567
Location 21459 Montreal Rd Ste 304Tucker, GA 30084-6920 · Phone (404) 778-3352

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

Dr. John Louis-ugbo Sr. 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 ID5890847511
PECOS Enrollment IDI20091030000460
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 2

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
28 services20 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.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 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

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.

MRS. LAPARISIENNE MOORE-BROWN LMSW
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
BRANDON HAYGOOD
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
ARIANNE JAMES
Registered Nurse
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
KARLA MARIE GARCIA ORTIZ MD
Family Medicine
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (044) 680-7354
MRS. JENNIFER REBECCA MUNRO MS, CCC/SLP
Speech-Language Pathologist
1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033
Dekalb County (404) 417-2953
DR. NED WILSON HOLLAND MD
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033
Dekalb County (404) 321-6111
MR. ROOSEVELT N/A DAVIS RPH
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
CEDRELLA CAROL JONES-TAYLOR M.D.
Internal Medicine
1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033
Dekalb County (404) 321-6111

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 John Louis-ugbo's NPI number?

The NPI number for John Louis-ugbo is 1902083629. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Where is John Louis-ugbo located?

John Louis-ugbo practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-6111.

What is John Louis-ugbo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Louis-ugbo enrolled in Medicare?

Yes. John Louis-ugbo 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 John Louis-ugbo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John Louis-ugbo 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 John Louis-ugbo affiliated with any hospitals?

According to CMS data, John Louis-ugbo is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for John Louis-ugbo was last updated on October 28, 2022. 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.