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DR. MARIE-HELENE GAGNON M.D.
NPI 1902253966
Radiology - Pediatric Radiology in Atlanta, GA

Active since May 19, 2016PECOS Enrolled
94.56/100
CMS Quality Rating
1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-3655 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marie-helene Gagnon M.d. NPPES

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

DR. MARIE-HELENE GAGNON M.D. (NPI 1902253966) is an individual pediatric radiology provider in Atlanta, Georgia, licensed in Georgia (88587) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Abington.

NPPES Registry Identity

NPI1902253966
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameDR. MARIE-HELENE GAGNONCredential: M.D.
Location Address1405 CLIFTON RD NEAtlanta, GA 30322-3720
Mailing Address1200 Old York RdAbington, PA 19001-3720
Phone(404) 785-3655
Sole ProprietorNo
Enumeration DateMay 19, 2016
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1902253966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in GA · 88587
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT210764 (PA)
1405 CLIFTON RD NE, Atlanta, GA 30322
Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 Old York RdAbington, PA 19001-3720 · Phone (215) 481-2191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marie-helene Gagnon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marie-helene Gagnon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
0.2 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Emory Medical Care Foundation Inc
4.4 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

CARRIE NG MD
Pediatrics (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7141
MR. MARCOS FRANCISCO MILLS MD
Pediatrics (Pediatric Cardiology)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 256-2593
MEAGAN GREEN PNP
Nurse Practitioner (Pediatrics)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6330
EVAN ORENSTEIN MD
Pediatrics
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6104
CAITLIN QUIGLEY CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
EIMAN ABDULRAHMAN M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7142
CAROL JOHN MD
Student in an Organized Health Care Education/Training Program
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
DR. BRANDON W KIRKLAND M.D.
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6210

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 Marie-helene Gagnon's NPI number?

The NPI number for Marie-helene Gagnon is 1902253966. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Marie-helene Gagnon located?

Marie-helene Gagnon practices at 1405 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 785-3655.

What is Marie-helene Gagnon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Marie-helene Gagnon enrolled in Medicare?

Yes. Marie-helene Gagnon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marie-helene Gagnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie-helene Gagnon reassigns Medicare benefits to 2 organizations: The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marie-helene Gagnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie-helene Gagnon accept?

Health plans from Oscar Health list Marie-helene Gagnon 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.

When was this NPI record last updated?

The NPPES record for Marie-helene Gagnon was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.