DARRELL MARK CHEEK M.D.
NPI 1932100724
Internal Medicine in Lawrenceville, GA

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
77.41/100
CMS Quality Rating
575 PROFESSIONAL DR, SUITE 510, LAWRENCEVILLE, GA 30046(770) 513-2072(770) 513-7986 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darrell Mark Cheek M.d. NPPES

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

DARRELL MARK CHEEK M.D. (NPI 1932100724) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (056033) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (1999).

NPPES Registry Identity

NPI1932100724
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDARRELL MARK CHEEKCredential: M.D.
Location Address575 PROFESSIONAL DR, SUITE 510Lawrenceville, GA 30046-3333
Mailing Address575 Professional Dr, Suite 510Lawrenceville, GA 30046-3333 · (770) 513-2072 · Fax (770) 513-7986
Fax(770) 513-7986
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1999
Enumeration DateAugust 3, 2005
Last NPPES UpdateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
NPI 1932100724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 056033
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
575 PROFESSIONAL DR, Lawrenceville, GA 30046

Other Identifiers 1

Other511G701200GA · Medicare-group

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

Darrell Mark Cheek M.d. 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 ID749213007
PECOS Enrollment IDI20050916000173
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 31

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.
664 services345 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
371 services282 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
264 services237 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
263 services239 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.
240 services240 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
224 services191 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
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

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

77.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.59
Promoting Interoperability72
Improvement Activities40
Cost63.45

Reported Quality Measures

Advance Care Plan
99%1,233 patients4/55-star benchmark: 100%
Breast Cancer Screening
76%1,218 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
75%1,923 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
93%30 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%614 patients4/55-star benchmark: 98%
e-Prescribing
96%4,117 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%1,063 patients5/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
7%305 patients1/55-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 4

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
11 suppliers26 claims75 services$5.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims12 services$1.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers11 claims66 services$1.88 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
2 suppliers24 claims24 services$207.88 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 10

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

Physical Therapist
575 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Optometrist
575 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Nurse Practitioner
575 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Anesthesiology
575 PROFESSIONAL DR, STE 165
LAWRENCEVILLE, GA 30046
Optometrist (Corneal and Contact Management)
575 PROFESSIONAL DR, SUITE 100
LAWRENCEVILLE, GA 30046
Physician Assistant
575 PROFESSIONAL DR, SUITE #510
LAWRENCEVILLE, GA 30046
Optometrist
575 PROFESSIONAL DR, 100
LAWRENCEVILLE, GA 30046
Anesthesiology (Pain Medicine)
575 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046

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 Darrell Cheek's NPI number?

The NPI number for Darrell Cheek is 1932100724. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Darrell Cheek located?

Darrell Cheek practices at 575 Professional Dr Suite 510, Lawrenceville, GA 30046. The listed phone number is (770) 513-2072.

What is Darrell Cheek's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Darrell Cheek enrolled in Medicare?

Yes. Darrell Cheek 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 Darrell Cheek affiliated with any hospitals?

According to CMS data, Darrell Cheek is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital, Piedmont Eastside Medical Center and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Darrell Cheek was last updated on September 15, 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.