Active NPI 1427055482 Individual Practitioner Male Practitioner

Dr. Michael C. Sergeant , MD

Hospitalist • Cumming, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sergeant, MD is a certified Hospitalist practicing in Cumming, GA. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Sergeant delivers high-quality medical care to the local community at 1200 NORTHSIDE FORSYTH DR.

Dr. Sergeant is affiliated with Arizona Inpatient Medicine Associates Llc and accepts Medicare assignment.

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

1200 Northside Forsyth Dr

Cumming, GA 300417659

Telephone 7708443200

Fax 4048516325

Associated Practice Facility / Clinic

🏢 Northside Hospital Facility NPI 1487653283

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Cumming, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 18.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Cumming, GA (970 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sergeant (41 Years) 41 Yrs

Cumming Specialty Average (24.3 Years) 24.3 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	210	99	$130.00	$113.10
99239 Hospital discharge day management, more than 30 minutes	77	77	$160.00	$108.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$220.93	$161.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	19	$90.00	$75.35

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	186	101	$129.25	$115.29
99239 Hospital discharge day management, more than 30 minutes	73	73	$158.60	$109.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	49	$226.00	$168.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	34	$90.00	$76.67
99238 Hospital discharge day management, 30 minutes or less	14	13	$95.00	$78.29

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	198	98	$116.00	$99.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	45	$90.00	$69.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$226.00	$192.37
99239 Hospital discharge day management, more than 30 minutes	42	42	$126.00	$101.98
99497 Advance care planning, first 30 minutes	14	14	$120.00	$75.49
99238 Hospital discharge day management, 30 minutes or less	12	12	$95.00	$69.67
99220 Hospital observation care, typically 70 minutes	12	12	$248.00	$173.73
99291 Critical care, first 30-74 minutes	11	11	$273.00	$212.75

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	239	112	$117.26	$102.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	53	$92.62	$71.25
99239 Hospital discharge day management, more than 30 minutes	52	52	$131.83	$105.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	49	$249.84	$198.38
99220 Hospital observation care, typically 70 minutes	23	23	$248.00	$180.18
99217 Hospital observation care on day of discharge	15	15	$111.00	$71.42
99497 Advance care planning, first 30 minutes	12	12	$120.00	$77.82

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	157	84	$219.14	$67.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	69	$400.06	$200.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	37	$305.65	$98.86
99239 Hospital discharge day management, more than 30 minutes	47	47	$317.81	$98.95
99220 Hospital observation care, typically 70 minutes	43	43	$361.33	$182.10
99291 Critical care, first 30-74 minutes	20	13	$782.00	$219.19
99238 Hospital discharge day management, 30 minutes or less	15	15	$200.00	$68.12
99217 Hospital observation care on day of discharge	13	13	$235.77	$69.49

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	316	155	$244.09	$67.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	83	$304.06	$95.07
99239 Hospital discharge day management, more than 30 minutes	117	117	$347.18	$100.13
99291 Critical care, first 30-74 minutes	39	23	$750.90	$208.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$677.60	$189.00
99217 Hospital observation care on day of discharge	21	21	$200.00	$68.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$502.07	$127.89
99238 Hospital discharge day management, 30 minutes or less	13	13	$219.38	$68.24
99220 Hospital observation care, typically 70 minutes	12	12	$511.00	$173.47

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	237	112	$316.47	$68.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	170	85	$402.19	$102.12
99239 Hospital discharge day management, more than 30 minutes	139	137	$413.96	$103.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$789.37	$194.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$573.33	$130.96
99291 Critical care, first 30-74 minutes	26	17	$1016.12	$211.45
99217 Hospital observation care on day of discharge	23	23	$360.70	$70.67

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	500	177	$217.11	$71.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	211	114	$348.09	$101.98
99239 Hospital discharge day management, more than 30 minutes	113	110	$326.58	$105.22
99238 Hospital discharge day management, 30 minutes or less	80	79	$212.78	$72.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	44	$115.00	$39.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	57	$613.24	$198.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$463.95	$129.57
99291 Critical care, first 30-74 minutes	18	14	$899.00	$220.13
99217 Hospital observation care on day of discharge	11	11	$336.09	$70.52

Medical Specialties & State Licenses

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License GA 070583

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License NM 88-94

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License GA 070583

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003143740A (GA)

Medicaid State Provider ID

04606 (NM)

Commercial Insurance / Payer ID Medicare Part B Pin

558948216M

Commercial Insurance / Payer ID Rr Medicare Number

080184953

Hospital & Practice Group Affiliations

Arizona Inpatient Medicine Associates Llc

7383 E Tanque Verde Rd, Tucson, AZ 857153475

Phone: 5203183434

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sarah Garvin , PharmD

Pharmacist

NPI 1003434093

Doctor of Pharmacy (Pharm.D.)

Dr. Colten Ryan , PharmD

Pharmacist

NPI 1013776681

Doctor of Pharmacy (Pharm.D.)

Dr. Raghunath Katragadda , MD

Internal Medicine - Cardiovascular Disease

NPI 1013924976

Doctor of Medicine (M.D.)

Dr. Craig Rosebrock , MD

Internal Medicine - Pulmonary Disease

NPI 1023223260

Doctor of Medicine (M.D.)

Dr. Arinze Duru , MD

Internal Medicine

NPI 1023371069

Doctor of Medicine (M.D.)

Dr. Matthew Wisdom , MD

Internal Medicine

NPI 1043231178

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2017

Registered at 1200 NORTHSIDE FORSYTH DR, CUMMING, GA 300417659 (Tel: 7708443200)

📍

Updated Business Mailing Address January 19, 2017

Registered at 1200 NORTHSIDE FORSYTH DR, CUMMING, GA 300417659 (Tel: 7708443200)

👤

Provider Name / Credentials Updated January 19, 2017

Recorded as MICHAEL SERGEANT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Family Medicine (License #88-94 in NM)

✅

NPI Profile Active September 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2014

Registered at 3371 BUFORD HWY NE, JENCARE NEIGHBORHOOD MEDICAL CENTER DRUID HILLS, LLC, ATLANTA, GA 30329 (Tel: 4044190180)

📍

Updated Business Mailing Address September 24, 2014

Registered at 3371 BUFORD HWY NE, JENCARE NEIGHBORHOOD MEDICAL CENTER DRUID HILLS, LLC, ATLANTA, GA 30329 (Tel: 4044190180)

👤

Provider Name / Credentials Updated September 24, 2014

Recorded as MICHAEL SERGEANT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2014

Family Medicine (License #88-94 in NM)

🟢

Initial NPI Registration & Enumeration July 06, 2005

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: 1427055482

Entity Type:

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

Enumeration Date: July 06, 2005

Last Update: January 19, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 Northside Forsyth Dr

Cumming, GA 300417659

Phone: 7708443200

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.