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DR. ROGER FRANCIS EDUARDO M.D.
NPI 1962792366
Surgery in Newnan, GA

Active since April 19, 2011PECOS EnrolledAccepts Medicare Assignment
110 OAK HILL BLVD STE 100, NEWNAN, GA 30265(470) 742-1832(470) 742-1833 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, Feb 24, 2021, Mar 25, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Roger Francis Eduardo M.d. NPPES

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

DR. ROGER FRANCIS EDUARDO M.D. (NPI 1962792366) is an individual surgery provider in Newnan, Georgia, licensed in Georgia (83109) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newnan Hospital, Inc, and is a graduate of Emory University School Of Medicine (2011).

NPPES Registry Identity

NPI1962792366
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROGER FRANCIS EDUARDOCredential: M.D.
Location Address110 OAK HILL BLVD STE 100Newnan, GA 30265-2313
Mailing Address110 Oak Hill Blvd Ste 100Newnan, GA 30265-2313 · (470) 742-1832 · Fax (470) 742-1833
Phone(470) 742-1832
Fax(470) 742-1833
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2011
Enumeration DateApril 19, 2011
Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1962792366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 83109
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
110 OAK HILL BLVD STE 100, Newnan, GA 30265
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health.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

Dr. Roger Francis Eduardo 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 ID4981997400
PECOS Enrollment IDI20200406003193
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 Roger Eduardo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eduardo MD LLC
0.2 mi
Surgery
110 OAK HILL BLVD STE 100
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
NPI 1598605883 (470) 742-1832
Beltline Bariatric And Surgical Group LLC
36 mi
Surgery
371 E PACES FERRY RD NE STE 750
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1700232865 (470) 419-4380

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 5

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.
83 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
59 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services13 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 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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 3

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

EDUARDO MD LLC
Surgery
110 OAK HILL BLVD STE 100
NEWNAN, GA 30265
Coweta County (203) 500-3957
VILLAGE PODIATRY GROUP LLC
Podiatrist
110 OAK HILL BLVD STE 100
NEWNAN, GA 30265
Coweta County (770) 415-0594
EDUARDO MD LLC
Surgery
110 OAK HILL BLVD STE 100
NEWNAN, GA 30265
Coweta County (470) 742-1832

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 Roger Eduardo's NPI number?

The NPI number for Roger Eduardo is 1962792366. It was assigned to this individual provider in the NPPES registry on April 19, 2011.

Where is Roger Eduardo located?

Roger Eduardo practices at 110 Oak Hill Blvd Ste 100, Newnan, GA 30265. The listed phone number is (470) 742-1832.

What is Roger Eduardo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Roger Eduardo enrolled in Medicare?

Yes. Roger Eduardo 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 Roger Eduardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Eduardo reassigns Medicare benefits to 2 organizations: Eduardo MD LLC (Newnan, GA) and Beltline Bariatric And Surgical Group LLC (Atlanta, 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 Roger Eduardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roger Eduardo accept?

Health plans from Alliant Health Plans, Inc. and Ambetter Health list Roger Eduardo 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 Roger Eduardo affiliated with any hospitals?

According to CMS data, Roger Eduardo is affiliated with Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Roger Eduardo was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.