DR. MIKHAIL GOROKHOV M.D. NPI 1922116599

Family Medicine in Atlanta, GA

NPI 1922116599 Individual Male Years of Experience 27 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. MIKHAIL GOROKHOV M.D.

Mikhail Gorokhov is a primary care provider established in Atlanta, Georgia and his medical specialization is family medicine with more than 27 years of experience. He graduated from Mercer University School Of Medicine in 1996. The NPI number of Mikhail Gorokhov is 1922116599 and was assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 039353 (GA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

A primary care provider (PCP) like Dr. Mikhail Gorokhov M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Mikhail Gorokhov is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mikhail Gorokhov is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.62 for a new patient copayment and $26.12 for an established patient copayment.

NPI

1922116599

Provider NameDR. MIKHAIL GOROKHOV M.D.
Provider Location Address2910 N DRUID HILLS RD NE STE A ATLANTA, GA 30329
Provider Mailing Address2012 HAROBI DR STE B TUCKER, GA 30084
GenderMale
NPI Entity TypeIndividual
Medical School NameMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-25-2006
Last Update Date10-22-2013


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.039353
License StateGA
Taxonomy DescriptionFamily 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.

Business Address

DR. MIKHAIL GOROKHOV M.D.
2910 N DRUID HILLS RD NE
STE A
ATLANTA, GA
ZIP 30329
Phone: (404) 320-6050

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Mailing Address

DR. MIKHAIL GOROKHOV M.D.
2012 HAROBI DR
STE B
TUCKER, GA
ZIP 30084
Phone: (404) 320-6050



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9133316920
PECOS Enrollment IDI20101206000818
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 30329 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.88 $178.51 $90.51
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.72 $44.62 $22.62
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.36 $145.86 $104.48
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.59 $36.46 $26.12

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 56Urinalysis, manual test (HCPCS:81002)
  • 55Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 50Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 35Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 15Administration of influenza virus vaccine (HCPCS:G0008)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
08BBXJXMEDICARE ID-TYPE UNSPECIFIED (04)GA
G11650MEDICARE UPIN (02)GA
00662219EMEDICAID (05)GA

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922116599
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29422112518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 1 + 1 + 2 + 5 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1922116599 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730181157 MARK J SAFRA MD
Individual
Specialist2910 N DRUID HILLS RD NE SUITE M
ATLANTA, GA 30329
(404) 633-0606
1811980188 JOHN F OBRIEN M.D.
Individual
Specialist2910 N DRUID HILLS RD NE SUITE N
ATLANTA, GA 30329
(404) 633-1481
1053484436MS. RUBY BLOW M.A., LPC, NCC
Individual
Counselor (Professional)2910 N DRUID HILLS RD NE SUITES E& J
ATLANTA, GA 30329
(404) 248-1557
1982741294DR. JOSEPH ALLAN ARNOLD MD
Individual
Family Medicine2910 N DRUID HILLS RD NE
ATLANTA, GA 30329
(404) 636-9411
1023157344DR. IBRAHIM F GABRIEL D.D.S
Individual
Dentist (General Practice)2910 N DRUID HILLS RD NE SUITE K
ATLANTA, GA 30329
(404) 634-7559
1003079229DR. MANJEET KAUR SINGH
Individual
Dentist2910 N DRUID HILLS RD NE SUITE B
ATLANTA, GA 30329
(404) 633-4030
1811150014DR. PIARA SINGH D.M.D
Individual
Dentist2910 N DRUID HILLS RD NE SUITE B
ATLANTA, GA 30329
(404) 633-4030
1750537106RUBY BLOW & ASSOCIATES LLC
Organization
Counselor (Professional)2910 N DRUID HILLS RD NE SUITES E & J
ATLANTA, GA 30329
(404) 248-1557
1770858979 CAROLYN ELAINE SMITH LAPC
Individual
Counselor (Mental Health)2910 N DRUID HILLS RD NE SUITE J
ATLANTA, GA 30329
(678) 333-9449
1538333497LAVISTA FAMILY MEDICINE
Organization
Clinic/Center (Primary Care)2910 N DRUID HILLS RD NE SUITE A
ATLANTA, GA 30329
(404) 320-6050
1225283856 RACHEL RABIN OTR/L
Individual
Occupational Therapist2910 N DRUID HILLS RD NE SUITE L
ATLANTA, GA 30329
(516) 395-8415
1316072135DRUID HILLS DENTAL SERVICES
Organization
Dentist (General Practice)2910 N DRUID HILLS RD NE SUITE K
ATLANTA, GA 30329
(404) 634-7559

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Mikhail Gorokhov M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.