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WAYNE L AMBROZE MD
NPI 1972561405
Colon & Rectal Surgery in Atlanta, GA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
84.7/100
CMS Quality Rating
5445 MERIDIAN MARKS RD, SUITE 180, ATLANTA, GA 30342(770) 277-4277(404) 252-5745 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2020, Jan 10, 2017 (2 updates tracked since 2017).

About Wayne L Ambroze Md NPPES

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

WAYNE L AMBROZE MD (NPI 1972561405) is an individual colon & rectal surgery provider in Atlanta, Georgia, licensed in Georgia (033019) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Northwestern University Feinberg Medical School (1983).

NPPES Registry Identity

NPI1972561405
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameWAYNE L AMBROZECredential: MD
Location Address5445 MERIDIAN MARKS RD, SUITE 180Atlanta, GA 30342-4763
Mailing Address5445 Meridian Marks Rd, Suite 180Atlanta, GA 30342-4763 · (770) 277-4277 · Fax (404) 252-5745
Phone(770) 277-4277
Fax(404) 252-5745
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1983
Enumeration DateMay 3, 2006
Last NPPES UpdateOctober 19, 20202 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1972561405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in GA · 033019
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
5445 MERIDIAN MARKS RD, Atlanta, GA 30342
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Other Identifiers 7

Other216188012Cigna Hmo
Medicaid00432011BGA
Other1406030United Healthcaree
Other519446Aetna Hmo
Other1129Kaiser
Other52022684Bcbs
Other4120130Aetna Non Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Wayne L Ambroze 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 ID9234254517
PECOS Enrollment IDI20100909000670
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 10

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.
104 services92 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.
101 services86 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
41 services41 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
35 services35 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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.

84.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.68
Promoting Interoperability84
Improvement Activities40
Cost95.65

Reported Quality Measures

Advance Care Plan
98%395 patients4/55-star benchmark: 100%
Breast Cancer Screening
50%248 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
78%632 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
58%277 patients3/55-star benchmark: 98%
e-Prescribing
100%46 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%483 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
41%150 patients2/55-star benchmark: 98%
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 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
4 suppliers29 claims860 services$2.85 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers21 claims60 services$3.52 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers55 claims1,499 services$4.84 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers23 claims464 services$2.38 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
3 suppliers21 claims116 services$5.33 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
3 suppliers23 claims740 services$8.20 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 5

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

MICHAEL LOUIS GARCIA-ROIG MD
Urology (Pediatric Urology)
5445 MERIDIAN MARKS RD, STE 420
ATLANTA, GA 30342
Fulton County (404) 252-5206
TEJAS R MEHTA M.D.
Pediatrics (Pediatric Gastroenterology)
5445 MERIDIAN MARKS RD, SUITE 490
ATLANTA, GA 30342
Fulton County (404) 843-6320
KEVIN A BUDMAN MD
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
5445 MERIDIAN MARKS RD
ATLANTA, GA 30342
Fulton County (404) 255-2419
PLASTIC SURGERY ASSOCIATES OF GEORGIA
Plastic Surgery
5445 MERIDIAN MARKS RD, SUITE 395
ATLANTA, GA 30342
Fulton County (470) 440-1777
NELSON CASTILLO M.D.
Plastic Surgery
5445 MERIDIAN MARKS RD, SUITE 395
ATLANTA, GA 30342
Fulton County (470) 440-1777

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 Wayne Ambroze's NPI number?

The NPI number for Wayne Ambroze is 1972561405. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Wayne Ambroze located?

Wayne Ambroze practices at 5445 Meridian Marks Rd Suite 180, Atlanta, GA 30342. The listed phone number is (770) 277-4277.

What is Wayne Ambroze's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Wayne Ambroze enrolled in Medicare?

Yes. Wayne Ambroze 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 Wayne Ambroze accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wayne Ambroze 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 Wayne Ambroze affiliated with any hospitals?

According to CMS data, Wayne Ambroze is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Wayne Ambroze was last updated on October 19, 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.