DR. TOMAS CONCEPCION MD
NPI 1912917121
Emergency Medicine in Macon, GA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
777 HEMLOCK ST, HB 64, MACON, GA 31201(478) 633-2097(478) 633-7836 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tomas Concepcion Md NPPES

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

DR. TOMAS CONCEPCION MD (NPI 1912917121) is an individual emergency medicine provider in Macon, Georgia, licensed in Georgia (33298) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1976).

NPPES Registry Identity

NPI1912917121
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TOMAS CONCEPCIONCredential: MD
Location Address777 HEMLOCK ST, HB 64Macon, GA 31201-2102
Mailing Address117 Moore RdGray, GA 31032-4723 · (478) 986-5114
Fax(478) 633-7836
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1976
Enumeration DateAugust 9, 2006
Last NPPES UpdateMarch 18, 2009
NPI 1912917121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 33298
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
777 HEMLOCK ST, Macon, GA 31201

Other Identifiers 3

Medicare UPIND93464
Medicare ID-Type Unspecified89BDFBZGA
Medicaid00477221AGA

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. Tomas Concepcion Md 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 ID6608928783
PECOS Enrollment IDI20090721000491
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
159 services159 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
53 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.18
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.

Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Pediatrics (Pediatric Critical Care Medicine)
777 HEMLOCK ST, MSC 83
MACON, GA 31201
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201

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 Tomas Concepcion's NPI number?

The NPI number for Tomas Concepcion is 1912917121. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Tomas Concepcion located?

Tomas Concepcion practices at 777 Hemlock St Hb 64, Macon, GA 31201. The listed phone number is (478) 633-2097.

What is Tomas Concepcion's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tomas Concepcion enrolled in Medicare?

Yes. Tomas Concepcion 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.

Is Tomas Concepcion affiliated with any hospitals?

According to CMS data, Tomas Concepcion is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Tomas Concepcion was last updated on March 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.