Active NPI 1871892208 Individual Practitioner Female Practitioner

Dr. Fiona Noelle Denham , MD

Surgery • Athens, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Fiona Denham, MD is a certified Surgery practicing in Athens, GA. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Denham delivers high-quality medical care to the local community at 1010 PRINCE AVE STE 200.

Dr. Denham is affiliated with Piedmont Athens Specialty Care Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1010 Prince Ave Ste 200

Athens, GA 306065820

Telephone 7064251430

Associated Practice Facility / Clinic

🏢 Heartland Diagnostic Imaging Facility NPI 1568460830

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Athens, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -8.9 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

23 Specialists

Practicing in Athens, GA (1046 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Denham (15 Years) 15 Yrs

Athens Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	67	$265.00	$88.41
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$185.00	$61.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	17	$370.00	$127.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$325.00	$122.99
19301 Partial removal of breast	17	17	$1855.00	$588.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$415.00	$167.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	76	$200.00	$91.40
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$150.00	$61.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	15	$325.00	$134.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$325.00	$124.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	86	$200.00	$91.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$325.00	$127.16
19301 Partial removal of breast	12	11	$1855.00	$591.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	67	$200.00	$92.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$325.00	$125.51
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$150.00	$64.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	15	$325.00	$126.70
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	14	$1565.00	$129.66
38900 Lymph node imaging during surgery	11	11	$3135.00	$126.95
19301 Partial removal of breast	11	11	$1939.36	$638.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	63	$200.00	$76.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	19	$325.00	$106.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$325.00	$120.95
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$150.00	$49.27
19301 Partial removal of breast	13	13	$1926.38	$635.77
38900 Lymph node imaging during surgery	11	11	$3135.00	$129.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	39	$200.00	$74.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	19	$325.00	$105.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$375.00	$158.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$325.00	$121.61
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$150.00	$48.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	25	$325.00	$105.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$200.00	$74.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$325.00	$121.97
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	15	15	$1565.00	$156.07
19301 Partial removal of breast	15	14	$1855.00	$573.65
38900 Lymph node imaging during surgery	12	12	$3135.00	$125.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$375.00	$159.16
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1289.00	$200.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	11	$325.00	$105.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$375.00	$159.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$196.00	$74.18
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	11	11	$1565.00	$153.14

Medical Specialties & State Licenses

CMS Verified: 2025-09-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 104778

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 - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License IN 01078998A

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

300004978 (IN)

Hospital & Practice Group Affiliations

Piedmont Athens Specialty Care Llc

1199 Prince Ave, Athens, GA 306062797

Phone: 7064751700

Secondary Practice Locations

200 High Park Ave

Goshen, IN 465264810

Phone: 5743642888

1135 Professional Dr

Goshen, IN 465263800

Phone: 5743644600

Practice Associates & Co-Workers

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

2 Associated Practitioners

Michelle Gamblin , PA

Physician Assistant

NPI 1619685518

Physician Assistant

Robin Myers , FNP

Nurse Practitioner

NPI 1659492973

Family Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location September 16, 2025

Registered at 1010 PRINCE AVE STE 200, ATHENS, GA 306065820 (Tel: 7064251430)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2025

Surgery (License #104778 in GA)

📍

Updated Practice Location January 20, 2021

Registered at 1135 PROFESSIONAL DR, GOSHEN, IN 465263800 (Tel: 5743644600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Surgery (License #01078998A in IN)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active August 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 03, 2017

Registered at 200 HIGH PARK AVE, GOSHEN, IN 465264810 (Tel: 5743642888)

📍

Updated Business Mailing Address August 03, 2017

Registered at 200 HIGH PARK AVE, GOSHEN, IN 465264810

👤

Provider Name / Credentials Updated August 03, 2017

Recorded as FIONA DENHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2017

Surgery (License #01078998A in IN)

✅

NPI Profile Active March 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2011

Registered at 1029 7TH ST, NEW ORLEANS, LA 701152236 (Tel: 5042962582)

📍

Updated Business Mailing Address March 24, 2011

Registered at 1029 7TH ST, NEW ORLEANS, LA 701152236 (Tel: 5042962582)

👤

Provider Name / Credentials Updated March 24, 2011

Recorded as FIONA DENHAM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2011

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 24, 2011

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: 1871892208

Entity Type:

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

Enumeration Date: March 24, 2011

Last Update: September 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 High Park Ave

Goshen, IN 465264810

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.