MARGARET OMATSONE MD
NPI 1942716527
Internal Medicine - Infectious Disease in Macon, GA
About Margaret Omatsone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARGARET OMATSONE MD (NPI 1942716527) is an individual infectious disease provider in Macon, Georgia, licensed in Georgia (080826) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Marietta.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Margaret Omatsone 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAWellstar Cobb Medical Center
Acute Care Hospitals · Austell, GAPhysician 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.
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.
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.
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 Margaret Omatsone's NPI number?
The NPI number for Margaret Omatsone is 1942716527. It was assigned to this individual provider in the NPPES registry on December 19, 2017.
Where is Margaret Omatsone located?
Margaret Omatsone practices at 764 Pine St, Macon, GA 31201. The listed phone number is (478) 633-1721.
What is Margaret Omatsone's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Margaret Omatsone enrolled in Medicare?
Yes. Margaret Omatsone 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 Margaret Omatsone accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Margaret Omatsone 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 Margaret Omatsone affiliated with any hospitals?
According to CMS data, Margaret Omatsone is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.
When was this NPI record last updated?
The NPPES record for Margaret Omatsone was last updated on October 1, 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.
# Margaret Omatsone, MD · NPI 1942716527
Infectious Disease physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since December 19, 2017.
## Identity
- **NPI:** 1942716527 (Entity type: Individual)
- **Enumerated:** December 19, 2017
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 080826 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 764 PINE ST, Macon, GA 31201
- **Phone:** (478) 633-1721
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1942716527) · Data from the CMS NPPES public registry.