DR. JEFFREY A CARLISLE M.D.
NPI 1992702450
Ophthalmology in Lilburn, GA

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
29.36/100
CMS Quality Rating
3975 LAWRENCEVILLE HWY NW, LILBURN, GA 30047(770) 923-5000(770) 717-9325 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jeffrey A Carlisle M.d. NPPES

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

DR. JEFFREY A CARLISLE M.D. (NPI 1992702450) is an individual ophthalmology provider in Lilburn, Georgia, licensed in Georgia (037164) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (1986).

NPPES Registry Identity

NPI1992702450
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JEFFREY A CARLISLECredential: M.D.
Location Address3975 LAWRENCEVILLE HWY NWLilburn, GA 30047-2817
Mailing Address5901a Peachtree Dunwoody Rd Ne, Ste 500Atlanta, GA 30328-5382 · (678) 892-2020 · Fax (678) 538-1950
Fax(770) 717-9325
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1986
Enumeration DateJune 30, 2005
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
NPI 1992702450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in GA · 037164
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3975 LAWRENCEVILLE HWY NW, Lilburn, GA 30047

Other Identifiers 9

Other0479686GA · Aetna Hmo
Other0891170GA · Uhc
Other1078920004GA · Dme
Medicaid00587067AGA
Other4486398GA · Aetna
Other507240GA · Bcbs
Other05200GA · Coventry Ppo
Other180025244GA · Rr Medicare
Other9856GA · Coventry Hmo

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

Dr. Jeffrey A Carlisle 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 ID648263970
PECOS Enrollment IDI20100614000498
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 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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
642 services545 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
201 services180 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
174 services107 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
154 services134 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
133 services80 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
123 services112 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 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
$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.

29.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost97.87

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.

Optometrist
3975 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Ophthalmology
3975 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
Optometrist
3975 LAWRENCEVILLE HWY NW
LILBURN, GA 30047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992702450, enumerated as an "individual" on June 30, 2005.

The provider is located at 3975 LAWRENCEVILLE HWY NW LILBURN, GA 30047 and the phone number is (770) 923-5000.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Providence Health Plan, Aetna, Medicare, Medicaid,. Please consult your insurance carrier or call the provider to verify.