Active NPI 1679681183 Individual Practitioner Male Practitioner

Dr. James Alvin Cato , MD

Single Specialty • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. James Cato, MD is a registered healthcare professional specializing in Single Specialty in Augusta, GA. Practice services are available at 2123 WRIGHTSBORO RD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2123 Wrightsboro Rd

Augusta, GA 309044777

Telephone 7067365244

Fax 7067365246

Associated Practice Facility / Clinic

🏢 Csra Medical Associates Facility NPI 1164530689

Specialty Benchmarks & Practice Insights

Comparative analytics for Single Specialty in Augusta, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Augusta, GA (1 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.2% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	322	127	$278.87	$74.16
99239 Hospital discharge day management, more than 30 minutes	126	124	$411.67	$107.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	119	61	$399.51	$111.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	59	$773.65	$163.15
99238 Hospital discharge day management, 30 minutes or less	12	12	$280.17	$76.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	451	175	$265.55	$75.58
99239 Hospital discharge day management, more than 30 minutes	143	141	$392.12	$108.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	105	59	$380.99	$113.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	73	$736.00	$165.74
99238 Hospital discharge day management, 30 minutes or less	14	14	$268.79	$76.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	306	136	$362.29	$97.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	66	$252.72	$67.78
99239 Hospital discharge day management, more than 30 minutes	76	74	$375.00	$99.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	64	$701.00	$189.55
99217 Hospital observation care on day of discharge	13	13	$254.00	$67.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	285	151	$340.44	$99.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	121	66	$238.58	$69.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	58	$665.07	$192.86
99239 Hospital discharge day management, more than 30 minutes	56	55	$350.79	$101.81
99238 Hospital discharge day management, 30 minutes or less	27	27	$238.00	$69.06
99220 Hospital observation care, typically 70 minutes	16	15	$610.69	$175.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	358	168	$324.09	$102.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	312	120	$226.82	$70.92
99239 Hospital discharge day management, more than 30 minutes	103	102	$333.00	$103.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$640.85	$199.34
99217 Hospital observation care on day of discharge	23	23	$228.43	$70.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	422	185	$249.25	$71.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	408	196	$335.79	$101.91
99239 Hospital discharge day management, more than 30 minutes	131	129	$366.92	$104.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$658.16	$198.35
99217 Hospital observation care on day of discharge	30	30	$338.83	$71.43
99238 Hospital discharge day management, 30 minutes or less	14	14	$262.43	$71.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	380	173	$361.00	$101.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	363	161	$265.00	$71.14
99239 Hospital discharge day management, more than 30 minutes	177	168	$433.00	$104.13
99217 Hospital observation care on day of discharge	40	40	$551.00	$71.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$697.00	$195.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$569.00	$133.80
99220 Hospital observation care, typically 70 minutes	25	25	$1405.00	$176.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	190	71	$351.74	$97.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	153	66	$229.57	$68.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	142	35	$92.00	$37.33
82962 Blood glucose (sugar) test performed by hand-held instrument	127	66	$17.00	$3.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	79	$202.50	$98.93
99213 Established patient office or other outpatient visit, typically 15 minutes	96	71	$139.50	$68.34
83036 Hemoglobin A1C level	83	58	$40.00	$12.50
36415 Insertion of needle into vein for collection of blood sample	61	55	$21.00	$2.94
99239 Hospital discharge day management, more than 30 minutes	57	56	$420.42	$100.63
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	44	23	$112.00	$42.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$869.73	$185.17
82948 Blood glucose (sugar) measurement using reagent strip	17	13	$17.00	$3.20
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$604.71	$98.12
99496 Transitional care management services for problem of high complexity	14	12	$394.00	$218.77

Medical Specialties & State Licenses

Single Specialty Primary Specialty

NUCC Taxonomy Code: 193400000X

A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License SC 19809

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License GA 034520

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000506294B (GA)

Medicaid State Provider ID

G34520 (SC)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Willie Deas , MD

Internal Medicine

NPI 1225146830

Doctor of Medicine (M.D.)

Calvin Jackson

Internal Medicine

NPI 1740398338

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 06, 2016

Registered at 2123 WRIGHTSBORO RD, AUGUSTA, GA 309044777 (Tel: 7067365244)

📍

Updated Business Mailing Address June 06, 2016

Registered at 2123 WRIGHTSBORO RD, AUGUSTA, GA 309044777 (Tel: 7067365244)

👤

Provider Name / Credentials Updated June 06, 2016

Recorded as JAMES CATO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2016

Single Specialty

🟢

Initial NPI Registration & Enumeration August 25, 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: 1679681183

Entity Type:

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

Enumeration Date: August 25, 2006

Last Update: June 06, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2123 Wrightsboro Rd

Augusta, GA 309044777

Phone: 7067365244

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.