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DR. CARLOS M FRANCO MD
NPI 1922086669
Internal Medicine - Hematology & Oncology in Atlanta, GA

Active since January 04, 2006PECOS Enrolled
68.38/100
CMS Quality Rating
1100 JOHNSON FY RD NE STE 600, ATLANTA, GA 30342(404) 256-4777(404) 256-5515 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, Apr 7, 2020 (2 updates tracked since 2020).

About Dr. Carlos M Franco Md NPPES

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

DR. CARLOS M FRANCO MD (NPI 1922086669) is an individual hematology & oncology provider in Atlanta, Georgia, licensed in Georgia (023733) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922086669
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. CARLOS M FRANCOCredential: MD
Location Address1100 JOHNSON FY RD NE STE 600Atlanta, GA 30342-1739
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (404) 256-4777 · Fax (404) 256-5515
Phone(404) 256-4777
Fax(404) 256-5515
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1922086669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 023733
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1100 JOHNSON FY RD NE STE 600, Atlanta, GA 30342
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Other Identifiers 2

Medicaid000255769GGA
Medicaid000255769HGA

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 (PECOS)

Dr. Carlos M Franco Md 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.

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.

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.
55 services42 patients
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.
39 services33 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.
14 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Referred Medical Equipment & Supplies CMS DME claims 3

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims896 services$0.60 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier13 claims1,170 services$0.86 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier20 claims20 services$17.05 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 2

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

DR. PRADEEP C JOLLY MD
Internal Medicine (Hematology & Oncology)
1100 JOHNSON FY RD NE STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777
DR. KRISTINA ELIZABETH BOWEN MD
Internal Medicine (Hematology & Oncology)
1100 JOHNSON FY RD NE STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777

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 Carlos Franco's NPI number?

The NPI number for Carlos Franco is 1922086669. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Carlos Franco located?

Carlos Franco practices at 1100 Johnson Fy Rd NE Ste 600, Atlanta, GA 30342. The listed phone number is (404) 256-4777.

What is Carlos Franco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Carlos Franco enrolled in Medicare?

Yes. Carlos Franco is registered in the Medicare PECOS enrollment system.

What insurance does Carlos Franco accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Carlos Franco 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 Carlos Franco was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.