Active NPI 1821074907 Individual Practitioner Male Practitioner

Dr. Mario A Cerame , MD

Surgery • Alpharetta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mario Cerame, MD is a registered healthcare professional specializing in Surgery in Alpharetta, GA. Practice services are available at 2655 NORTHWINDS PKWY under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2655 Northwinds Pkwy

Alpharetta, GA 300092280

Telephone 7706435522

Associated Practice Facility / Clinic

🏢 Premier Anesthesia Of Urbana Facility NPI 1528098357

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Alpharetta, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.6 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

14 Specialists

Practicing in Alpharetta, GA (1046 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$230.00	$109.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$357.00	$163.59
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$185.00	$86.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$91.00	$54.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$232.00	$124.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$126.00	$92.74
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$126.00	$74.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	19	$84.00	$46.27
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$126.00	$76.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$530.00	$112.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$192.00	$140.57

Medical Specialties & State Licenses

CMS Verified: 2023-06-14

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 32479

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101242809

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8921852 (NC)

Commercial Insurance / Payer ID Partners Medicare Choice

5589 (NC)

Commercial Insurance / Payer ID Cigna Healthcare

5702377 (NC)

Commercial Insurance / Payer ID Aetna

5901023 (NC)

Commercial Insurance / Payer ID United Healthcare

1700504 (NC)

Commercial Insurance / Payer ID Champus/tricare

67401429 (NC)

Commercial Insurance / Payer ID Bcbs

21852 (NC)

Commercial Insurance / Payer ID Railroad Medicare

P00328039 (NC)

Commercial Insurance / Payer ID Medcost

D6987 (NC)

Secondary Practice Locations

2232 Wilborn Ave Ste C

South Boston, VA 245921662

Phone: 4345173910