Active NPI 1154364370 Individual Practitioner Male Practitioner

Dr. Alejandro J. Correa , MD

Otolaryngology • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alejandro Correa, MD is a certified Otolaryngology practicing in Macon, GA. With approximately 32 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1994, Dr. Correa delivers high-quality medical care to the local community at 540 HEMLOCK ST.

Dr. Correa is affiliated with The Ent Center Of Central Georgia, Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

540 Hemlock St

Macon, GA 312013202

Telephone 4787438953

Fax 4787431963

Associated Practice Facility / Clinic

🏢 The Ent Center Of Central Georgia, P.c. Facility NPI 1962449363

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Macon, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +12.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Macon, GA (363 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Correa (32 Years) 32 Yrs

Macon Specialty Average (19.6 Years) 19.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	251	$179.00	$119.34
99213 Established patient office or other outpatient visit, typically 15 minutes	178	148	$118.00	$84.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$278.00	$156.76
92557 Comprehensive hearing and speech recognition test	95	93	$144.00	$33.88
92567 Eardrum testing using ear probe	93	82	$65.00	$15.04
69210 Removal of impacted ear wax	66	54	$122.83	$44.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$196.00	$104.52
31575 Diagnostic exam of voice box using a flexible endoscope	35	31	$392.00	$116.88
92552 Test for hearing various pitches using earphone	13	13	$83.00	$30.03

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	429	331	$179.00	$120.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$278.00	$157.67
99213 Established patient office or other outpatient visit, typically 15 minutes	151	124	$118.00	$85.65
69210 Removal of impacted ear wax	70	54	$121.00	$45.32
31575 Diagnostic exam of voice box using a flexible endoscope	53	48	$392.00	$121.12
92557 Comprehensive hearing and speech recognition test	50	49	$144.00	$35.02
92567 Eardrum testing using ear probe	44	40	$65.00	$15.30
92552 Test for hearing various pitches using earphone	17	17	$83.00	$31.00

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	521	376	$179.00	$121.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$278.00	$158.35
92557 Comprehensive hearing and speech recognition test	76	75	$144.00	$36.10
92567 Eardrum testing using ear probe	73	65	$65.00	$15.56
31575 Diagnostic exam of voice box using a flexible endoscope	65	48	$392.00	$118.98
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$118.00	$85.83
69210 Removal of impacted ear wax	53	47	$121.00	$45.33
92552 Test for hearing various pitches using earphone	21	21	$83.00	$29.49
69209 Removal of impacted ear wax by washing	15	14	$41.60	$15.10
92553 Test for hearing various pitches using earphone and device placed against the bone	13	13	$109.00	$36.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$196.00	$107.31

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	442	318	$179.00	$123.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	147	147	$196.00	$107.75
99213 Established patient office or other outpatient visit, typically 15 minutes	139	109	$118.00	$87.21
69210 Removal of impacted ear wax	54	51	$123.24	$45.69
31575 Diagnostic exam of voice box using a flexible endoscope	44	38	$392.00	$116.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$278.00	$161.96
92557 Comprehensive hearing and speech recognition test	21	21	$144.00	$37.23
92567 Eardrum testing using ear probe	21	20	$65.00	$15.71

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	349	279	$179.00	$103.74
99213 Established patient office or other outpatient visit, typically 15 minutes	169	133	$118.00	$72.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	157	157	$196.00	$103.43
31575 Diagnostic exam of voice box using a flexible endoscope	38	32	$392.00	$116.89
69210 Removal of impacted ear wax	19	17	$121.00	$46.97
92567 Eardrum testing using ear probe	16	15	$65.00	$15.42
92557 Comprehensive hearing and speech recognition test	12	12	$144.00	$37.57

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	345	280	$179.00	$103.97
99213 Established patient office or other outpatient visit, typically 15 minutes	232	163	$118.00	$70.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	199	199	$196.00	$103.35
31575 Diagnostic exam of voice box using a flexible endoscope	64	56	$392.00	$108.46
92567 Eardrum testing using ear probe	53	48	$65.00	$14.29
92557 Comprehensive hearing and speech recognition test	30	29	$144.00	$36.18
69210 Removal of impacted ear wax	17	17	$121.00	$45.99

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	297	239	$179.00	$101.93
99213 Established patient office or other outpatient visit, typically 15 minutes	253	183	$118.00	$68.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	196	196	$196.00	$101.19
31575 Diagnostic exam of voice box using a flexible endoscope	73	58	$392.00	$104.96
92567 Eardrum testing using ear probe	71	65	$65.00	$13.40
92557 Comprehensive hearing and speech recognition test	41	39	$144.00	$36.44
69210 Removal of impacted ear wax	27	23	$121.00	$45.77
92552 Test for hearing various pitches using earphone	15	15	$83.00	$28.85

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	360	290	$173.96	$100.83
99213 Established patient office or other outpatient visit, typically 15 minutes	234	175	$111.42	$68.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	218	218	$185.47	$101.57
92567 Eardrum testing using ear probe	151	135	$63.15	$13.81
92557 Comprehensive hearing and speech recognition test	91	88	$139.65	$36.31
31575 Diagnostic exam of voice box using a flexible endoscope	73	52	$380.88	$103.40
92552 Test for hearing various pitches using earphone	28	28	$82.43	$28.31
69210 Removal of impacted ear wax	22	20	$121.00	$46.65
92553 Test for hearing various pitches using earphone and device placed against the bone	19	17	$109.00	$33.80
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$152.00	$98.57
92556 Test for ability to detect and repeat spoken words with speech recognition	12	12	$109.00	$34.00

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License GA 048500

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00869173A (GA)

Commercial Insurance / Payer ID Cigna

1051087-001 (GA)

Commercial Insurance / Payer ID B/c B/s

728909 (GA)

Hospital & Practice Group Affiliations

The Ent Center Of Central Georgia, Pc

540 Hemlock St, Macon, GA 312013202

Phone: 9127438953

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Thomas Holmes , MD

Otolaryngology

NPI 1104355882

Doctor of Medicine (M.D.)

Dr. Keith Holmes , MD

Otolaryngology

NPI 1104882281

Doctor of Medicine (M.D.)

Stephanie Martin , FNP-C

Nurse Practitioner

NPI 1215429881

Family Nurse Practitioner (Certified)

Dr. C. Warren Dunn , MD

Otolaryngology

NPI 1245294180

Doctor of Medicine (M.D.)

Christina Vandalinda , NP

Nurse Practitioner - Family

NPI 1285050773

Nurse Practitioner

Dr. Heather Starr , AuD

Audiologist

NPI 1346134681

Doctor of Audiology

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 18, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2008

Registered at 540 HEMLOCK ST, MACON, GA 312013202 (Tel: 4787438953)

📍

Updated Business Mailing Address June 18, 2008

Registered at 540 HEMLOCK ST., MACON, GA 31201 (Tel: 4787438953)

👤

Provider Name / Credentials Updated June 18, 2008

Recorded as ALEJANDRO CORREA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2008

Otolaryngology (License #048500 in GA)

🟢

Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154364370

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: June 18, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

540 Hemlock St.

Macon, GA 31201

Phone: 4787438953

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.