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DR. RICHARD LOWELL HENGEL M.D.
NPI 1972605665
Internal Medicine - Infectious Disease in Atlanta, GA

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
275 COLLIER RD NW, STE 450, ATLANTA, GA 30309(404) 355-3161(404) 355-1353 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Lowell Hengel M.d. NPPES

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

DR. RICHARD LOWELL HENGEL M.D. (NPI 1972605665) is an individual infectious disease provider in Atlanta, Georgia, licensed in Georgia (38010) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1972605665
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. RICHARD LOWELL HENGELCredential: M.D.
Location Address275 COLLIER RD NW, STE 450Atlanta, GA 30309-1709
Mailing Address275 Collier Rd Nw, Ste 450Atlanta, GA 30309-1709 · (404) 355-3161 · Fax (404) 355-1353
Phone(404) 355-3161
Fax(404) 355-1353
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 2, 2006
Last NPPES UpdateFebruary 14, 2014
✔ NPI 1972605665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in GA · 38010
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
275 COLLIER RD NW, Atlanta, GA 30309
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified44ZCBLG
Medicare UPINF51804
Medicare ID-Type Unspecified001341G00

Accepted Insurance

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

Dr. Richard Lowell Hengel 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 ID1355394909
PECOS Enrollment IDI20050224000007
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 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.

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.
125 services57 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.
78 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%62 patients3/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 28 patients
100%40 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%59 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
90%93 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
77%78 patients4/55-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.

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.

ASHLEY RAE GORE NP-C
Nurse Practitioner (Family)
275 COLLIER RD NW, SUITE 300
ATLANTA, GA 30309
Fulton County (404) 605-2800
MALLORY ANN KUHN
Physician Assistant
275 COLLIER RD NW
ATLANTA, GA 30309
Fulton County (404) 351-1002
DR. BOBBY ANTHONY SMITH MD
Internal Medicine (Clinical Cardiac Electrophysiology)
275 COLLIER RD NW, SUITE 500
ATLANTA, GA 30309
Fulton County (404) 605-2800
DR. ADRIAN POOLE BENNETT M.D.
Specialist
275 COLLIER RD NW, 100-A
ATLANTA, GA 30309
Fulton County (404) 352-1235
ANDREW MATEY NP
Nurse Practitioner
275 COLLIER RD NW, SUITE 500
ATLANTA, GA 30309
Fulton County (404) 605-2800
DR. RICHARD JAMES TAYLOR M.D.
Specialist
275 COLLIER RD NW, SUITE 100-B
ATLANTA, GA 30309
Fulton County (404) 352-3656
ALLISON BAKER SHIELDS NP
Nurse Practitioner
275 COLLIER RD NW, STE 300
ATLANTA, GA 30309
Fulton County (404) 605-2800
KENNETH EUGENE LYDA FNP
Nurse Practitioner (Family)
275 COLLIER RD NW, STE 500
ATLANTA, GA 30309
Fulton County (404) 605-2800

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 Richard Hengel's NPI number?

The NPI number for Richard Hengel is 1972605665. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Richard Hengel located?

Richard Hengel practices at 275 Collier Rd NW Ste 450, Atlanta, GA 30309. The listed phone number is (404) 355-3161.

What is Richard Hengel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Richard Hengel enrolled in Medicare?

Yes. Richard Hengel 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 Richard Hengel 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 Richard Hengel 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 Richard Hengel affiliated with any hospitals?

According to CMS data, Richard Hengel is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Richard Hengel was last updated on February 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.