PAUL-ROBERT DERENONCOURT MD
NPI 1942850078
Radiology - Diagnostic Radiology in Augusta, GA

Active since September 20, 2019PECOS EnrolledAccepts Medicare Assignment
1120 15TH ST, AUGUSTA, GA 30912(706) 721-8623 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2024, Sep 20, 2019 (2 updates tracked since 2019).

About Paul-robert Derenoncourt Md NPPES

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

PAUL-ROBERT DERENONCOURT MD (NPI 1942850078) is an individual diagnostic radiology provider in Augusta, Georgia, licensed in Georgia (96592) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1942850078
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePAUL-ROBERT DERENONCOURTCredential: MD
Location Address1120 15TH STAugusta, GA 30912-1016
Mailing Address1013 Wesleyan CirEvans, GA 30809-0227 · (314) 760-4443
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 20, 2019
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1942850078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 96592
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedNuclear MedicineTaxonomy 207U00000X · License 96592 (GA)
1120 15TH ST, Augusta, GA 30912

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul-robert Derenoncourt 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.

PECOS PAC ID3072975200
PECOS Enrollment IDI20230818002517
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul-robert Derenoncourt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
83 services77 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
29 services29 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
29 services29 patients
Nuclear medicine study of parathyroid with spect and ct scan 78072
A nuclear medicine study of the parathyroid with SPECT and CT scan is a diagnostic procedure. It uses a safe radioactive substance and imaging techniques to create detailed pictures of your parathyroid glands. These images help identify any abnormalities or diseases.
28 services28 patients
Nuclear medicine study whole body with ct scan 78816
A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.
25 services23 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912

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 Paul-robert Derenoncourt's NPI number?

The NPI number for Paul-robert Derenoncourt is 1942850078. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Paul-robert Derenoncourt located?

Paul-robert Derenoncourt practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Paul-robert Derenoncourt's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Paul-robert Derenoncourt enrolled in Medicare?

Yes. Paul-robert Derenoncourt 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.

Which organizations bill Medicare for Paul-robert Derenoncourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul-robert Derenoncourt reassigns Medicare benefits to 2 organizations: Au Medical Associates Inc (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul-robert Derenoncourt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul-robert Derenoncourt accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list Paul-robert Derenoncourt 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 Paul-robert Derenoncourt affiliated with any hospitals?

According to CMS data, Paul-robert Derenoncourt is affiliated with Piedmont Augusta Hospital and Au Medical Center.

When was this NPI record last updated?

The NPPES record for Paul-robert Derenoncourt was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.