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DR. CYNTHIA L GILES D.O.
NPI 1912975889
Family Medicine in Fort Valley, GA

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
89.19/100
CMS Quality Rating
555 BLUEBIRD BLVD, FORT VALLEY, GA 31030(478) 825-8954(478) 825-0281 Get Directions Write a Review

NPPES record last updated: November 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cynthia L Giles D.o. NPPES

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

DR. CYNTHIA L GILES D.O. (NPI 1912975889) is an individual family medicine provider in Fort Valley, Georgia, licensed in Georgia (048778) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of West Virginia School Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1912975889
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CYNTHIA L GILESCredential: D.O.
Location Address555 BLUEBIRD BLVDFort Valley, GA 31030-5083
Mailing Address555 Bluebird Blvd, P. O. Box 894Fort Valley, GA 31030-5083 · (478) 825-8954 · Fax (478) 825-0281
Phone(478) 825-8954
Fax(478) 825-0281
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1998
Enumeration DateMarch 8, 2006
Last NPPES UpdateNovember 14, 2009
✔ NPI 1912975889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 048778
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
555 BLUEBIRD BLVD, Fort Valley, GA 31030
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified08BBVKTGA
Other080182880GA · Rail Road Medicare
Medicare UPINH39689GA
Medicaid00908729AGA

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. Cynthia L Giles D.o. 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 ID2365355740
PECOS Enrollment IDI20031111000548
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 10

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 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.
457 services217 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
332 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
192 services192 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
98 services33 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
77 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31030 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.

89.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability84
Improvement Activities40
Cost77.32

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%252 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
78%69 patients1/55-star benchmark: 100%
Advance Care Plan
89%593 patients4/55-star benchmark: 100%
Breast Cancer Screening
73%297 patients4/55-star benchmark: 93%
Cervical Cancer Screening
39%190 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
54%262 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
59%546 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
81%203 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
76%102 patients3/55-star benchmark: 100%
Dementia: Cognitive Assessment
71%28 patients
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
86%266 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
31%188 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%188 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%2,484 patients4/55-star benchmark: 100%
e-Prescribing
97%635 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%575 patients4/55-star benchmark: 100%
HIV Screening
1%378 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
97%925 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%508 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%799 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 40% · 784 patients
Patients screened: 41% · 784 patients
74%39 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 74% · 770 patients
73%770 patients
Provide Patients Electronic Access to Their Health Information
62%505 patients3/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Functional Status Assessment
0%28 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
56%232 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%357 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 545 patients
Patients totalRate: 15% · 599 patients
16%599 patients3/55-star benchmark: 100%
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 8

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
5 suppliers57 claims104 services$5.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims12 services$0.85 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers36 claims36 services$17.81 avg. paid by Medicare
Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$33.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims36 services$94.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers23 claims23 services$186.65 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

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

CYNTHIA L. GILES, D.O., L.L.C.
Family Medicine
555 BLUEBIRD BLVD
FORT VALLEY, GA 31030
Peach County (478) 825-8954

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 Cynthia Giles's NPI number?

The NPI number for Cynthia Giles is 1912975889. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Cynthia Giles located?

Cynthia Giles practices at 555 Bluebird Blvd, Fort Valley, GA 31030. The listed phone number is (478) 825-8954.

What is Cynthia Giles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cynthia Giles enrolled in Medicare?

Yes. Cynthia Giles 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 Cynthia Giles accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Cynthia Giles 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 Cynthia Giles affiliated with any hospitals?

According to CMS data, Cynthia Giles is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Northside Hospital and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for Cynthia Giles was last updated on November 14, 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.