Active NPI 1356494595 Individual Practitioner Male Practitioner

Dr. Edward H Young , MD

Internal Medicine • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Young, MD is a certified Internal Medicine practicing in Macon, GA. With approximately 35 years of clinical experience since graduating from Mercer University School Of Medicine in 1991, Dr. Young delivers high-quality medical care to the local community at 6501 PEAKE RD.

Dr. Young is affiliated with Cogent Healthcare Of Macon, 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, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6501 Peake Rd
#700

Macon, GA 312108042

Telephone 4784769285

Associated Practice Facility / Clinic

🏢 Jeffrey A. Fried, Md Pc Facility NPI 1255414587

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Macon, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +17.4 yrs vs City Avg

City Avg: 17.6 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

194 Specialists

Practicing in Macon, GA (4065 Statewide)

Telehealth Adoption Rate

7.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Young (35 Years) 35 Yrs

Macon Specialty Average (17.6 Years) 17.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	340	161	$158.00	$73.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	149	76	$227.00	$112.15
99238 Hospital discharge day management, 30 minutes or less	83	83	$162.73	$75.21
99239 Hospital discharge day management, more than 30 minutes	62	61	$232.00	$106.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$292.00	$123.45

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	335	152	$158.00	$74.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	258	115	$227.00	$110.81
99238 Hospital discharge day management, 30 minutes or less	100	99	$162.00	$76.69
99239 Hospital discharge day management, more than 30 minutes	47	44	$232.00	$107.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$429.00	$162.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$292.00	$124.40

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	369	155	$158.00	$66.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	227	139	$227.00	$96.73
99238 Hospital discharge day management, 30 minutes or less	134	129	$162.00	$67.98
99239 Hospital discharge day management, more than 30 minutes	31	30	$232.00	$99.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$429.00	$188.16
99217 Hospital observation care on day of discharge	11	11	$204.00	$67.69

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	355	154	$227.00	$99.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	291	118	$158.00	$69.12
99238 Hospital discharge day management, 30 minutes or less	107	104	$162.00	$68.95
99239 Hospital discharge day management, more than 30 minutes	49	48	$232.00	$101.65
99217 Hospital observation care on day of discharge	17	17	$204.00	$68.95

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	465	178	$227.00	$102.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	220	99	$158.00	$70.87
99238 Hospital discharge day management, 30 minutes or less	145	137	$162.00	$71.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$429.00	$198.39
99217 Hospital observation care on day of discharge	28	28	$204.00	$71.06
99226 Subsequent observation care, typically 35 minutes per day	13	12	$184.00	$102.88

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	360	168	$158.00	$70.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	297	142	$227.00	$101.03
99238 Hospital discharge day management, 30 minutes or less	176	171	$162.00	$70.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	93	$429.00	$197.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	39	$89.00	$38.50
99220 Hospital observation care, typically 70 minutes	25	25	$352.00	$179.87
99217 Hospital observation care on day of discharge	21	21	$184.00	$70.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$292.00	$133.88
99219 Hospital observation care, typically 50 minutes	16	16	$250.00	$132.64
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$212.00	$99.36

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	611	264	$227.00	$101.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	105	$158.00	$71.00
99238 Hospital discharge day management, 30 minutes or less	151	150	$162.00	$70.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	134	131	$429.00	$198.17
99221 Initial hospital inpatient care per day, typically 30 minutes	40	40	$212.00	$99.11
99239 Hospital discharge day management, more than 30 minutes	36	33	$232.00	$104.56
99217 Hospital observation care on day of discharge	26	26	$162.00	$68.95
99220 Hospital observation care, typically 70 minutes	26	26	$352.00	$181.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	18	$89.00	$38.35
99226 Subsequent observation care, typically 35 minutes per day	19	16	$184.00	$102.41
99219 Hospital observation care, typically 50 minutes	18	18	$250.00	$127.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$292.00	$132.95
99225 Subsequent observation care, typically 25 minutes per day	13	12	$123.00	$71.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$65.00	$51.11

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	1,005	365	$227.00	$101.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	240	134	$158.00	$70.01
99238 Hospital discharge day management, 30 minutes or less	215	214	$162.00	$69.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	124	122	$429.00	$195.34
99217 Hospital observation care on day of discharge	55	55	$162.00	$70.25
99239 Hospital discharge day management, more than 30 minutes	54	51	$232.00	$103.67
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$212.00	$95.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	30	$89.00	$38.14
99220 Hospital observation care, typically 70 minutes	36	35	$352.00	$180.20
99226 Subsequent observation care, typically 35 minutes per day	35	29	$184.00	$101.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$292.00	$132.89
99218 Hospital observation care typically 30 minutes	21	21	$152.00	$96.86
99225 Subsequent observation care, typically 25 minutes per day	17	15	$123.00	$70.64

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 036325

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

000518207G (GA)

Commercial Insurance / Payer ID Bcbs Of Georgia

52029199 (GA)

Hospital & Practice Group Affiliations

Cogent Healthcare Of Macon, Llc

777 Hemlock St, Macon, GA 312012102

Phone: 4786337444

Cogent Healthcare Of Macon, Llc

821 N Cobb St, Milledgeville, GA 310612343

Phone: 4786337550

Cogent Healthcare Of Macon, Llc

777 Hemlock St, Macon, GA 312012102

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Allen Garrison , MD

Internal Medicine

NPI 1689752636

Doctor of Medicine (M.D.)

Dr. Robert Monahan , MD

Internal Medicine

NPI 1710065701

Doctor of Medicine (M.D.)

Dr. Kavitha Vemuri , MD

Internal Medicine

NPI 1790849495

Doctor of Medicine (M.D.)

Dr. Charles Snow , MD

Internal Medicine

NPI 1891873840

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 December 09, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 09, 2009

Registered at 6501 PEAKE RD, #700, MACON, GA 312108042 (Tel: 4784769285)

📍

Updated Business Mailing Address December 09, 2009

Registered at 6501 PEAKE RD, #700, MACON, GA 312108042 (Tel: 4784769285)

👤

Provider Name / Credentials Updated December 09, 2009

Recorded as EDWARD YOUNG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2009

Internal Medicine (License #036325 in GA)

🟢

Initial NPI Registration & Enumeration January 19, 2007

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: 1356494595

Entity Type:

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

Enumeration Date: January 19, 2007

Last Update: December 09, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6501 Peake Rd, #700

Macon, GA 312108042

Phone: 4784769285

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.