Active NPI 1821086802 Individual Practitioner Male Practitioner

Dr. Michael Anthony Quinones , MD

Surgery • Sandy Springs, GA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Quinones, MD is a registered healthcare professional specializing in Surgery in Sandy Springs, GA. Practice services are available at 5730 GLENRIDGE DR STE 310 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof 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

5730 Glenridge Dr Ste 310

Sandy Springs, GA 303285561

Telephone 4043037444

Fax 4043037445

Associated Practice Facility / Clinic

🏢 Michael A. Quinones, Md, Pc Facility NPI 1295063808

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sandy Springs, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Sandy Springs, GA (1046 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.5% 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
99213 Established patient office or other outpatient visit, typically 15 minutes	129	72	$128.58	$89.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	24	$150.00	$126.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$175.00	$110.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$214.30	$164.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	70	$128.58	$84.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	29	$150.00	$124.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$175.00	$109.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$214.30	$164.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	68	$126.41	$85.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	29	$150.00	$121.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$175.00	$113.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$213.54	$169.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	64	$125.00	$90.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	19	$150.00	$118.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$175.00	$111.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	113	$211.59	$76.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	45	$290.05	$110.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$332.47	$107.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$449.75	$166.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	348	165	$230.21	$71.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	49	$340.57	$104.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	23	$220.56	$70.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$339.45	$103.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$523.50	$162.10
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	16	16	$2446.94	$158.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	413	198	$152.00	$73.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	42	$225.00	$108.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$227.00	$108.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	27	$153.00	$73.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$291.00	$137.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$348.00	$165.18
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	11	$1309.00	$162.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	422	208	$152.00	$69.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$227.00	$103.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	40	$225.00	$103.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	38	$153.00	$70.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	48	$291.00	$132.80
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	26	25	$1309.00	$147.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$348.00	$159.00

Medical Specialties & State Licenses

CMS Verified: 2021-06-28

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 038917

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00626029A (GA)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 28, 2021

Registered at 5730 GLENRIDGE DR STE 310, SANDY SPRINGS, GA 303285561 (Tel: 4043037444)

📍

Updated Business Mailing Address June 28, 2021

Registered at 5730 GLENRIDGE DR STE 310, SANDY SPRINGS, GA 303285561 (Tel: 4043037444)

✅

NPI Profile Active March 24, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2008

Registered at 2675 NORTH DECATUR ROAD, SUITE 609, DECATUR, GA 30033 (Tel: 4045019170)

📍

Updated Business Mailing Address March 24, 2008

Registered at 2675 NORTH DECATUR ROAD, SUITE 609, DECATUR, GA 30033 (Tel: 4045019170)

👤

Provider Name / Credentials Updated March 24, 2008

Recorded as MICHAEL QUINONES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2008

Surgery (License #038917 in GA)

🟢

Initial NPI Registration & Enumeration October 12, 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: 1821086802

Entity Type:

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

Enumeration Date: October 12, 2005

Last Update: June 28, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5730 Glenridge Dr Ste 310

Sandy Springs, GA 303285561

Phone: 4043037444

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.