Active NPI 1821169442 Individual Practitioner Male Practitioner

Dr. Cesar Augustus Gumucio , MD

Plastic Surgery • Athens, GA

Professional Overview & Biography Verified Profile Summary

Dr. Cesar Gumucio, MD is a registered healthcare professional specializing in Plastic Surgery in Athens, GA. Practice services are available at 489 N MILLEDGE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

489 N Milledge Ave

Athens, GA 306013807

Telephone 7066136650

Fax 7066136868

Associated Practice Facility / Clinic

🏢 The Moore Center For Plastic Surgery, P.c. Facility NPI 1841324670

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Athens, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 36.0 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Athens, GA (190 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.2% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$125.00	$84.79

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	52	44	$90.00	$52.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	29	$160.00	$120.93
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$125.00	$83.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$225.00	$153.77

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	52	51	$90.00	$52.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$160.00	$120.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$225.00	$152.39
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$125.00	$86.81

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	39	33	$90.00	$43.12
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$125.00	$71.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$150.00	$102.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$225.00	$151.06

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	64	51	$90.00	$42.56
99213 Established patient office or other outpatient visit, typically 15 minutes	46	38	$125.00	$69.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	13	$70.00	$21.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$150.00	$99.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$157.61
15860 Injection of agent into vein to assess blood flow of skin graft or flap	12	12	$160.00	$53.96

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	63	46	$90.00	$39.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	28	$70.00	$19.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$150.00	$97.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$225.00	$149.09
19357 Insertion of tissue expander in breast	12	12	$4125.00	$1954.08

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	76	63	$90.00	$39.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$150.00	$99.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$151.01
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$125.00	$66.83

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License GA 032744

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Chelsea Venditto , MD

Plastic Surgery

NPI 1831432103

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 489 N MILLEDGE AVE, ATHENS, GA 306013807 (Tel: 7066136650)

📍

Updated Business Mailing Address July 08, 2007

Registered at 489 N MILLEDGE AVE, ATHENS, GA 306013807 (Tel: 7066136650)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CESAR GUMUCIO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #032744 in GA)

🟢

Initial NPI Registration & Enumeration November 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821169442

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 13, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

489 N Milledge Ave

Athens, GA 306013807

Phone: 7066136650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.