Michael Waller


Address: 950 Sanders Rd, Cumming, GA 30041-5960

Michael Waller (NPI# 1881604767, PAC ID# 9931182342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1881604767
PAC ID by PECOS 9931182342
Professional Enrollment ID I20040608000799
Full Name Michael Waller
Address 950 Sanders Rd
Cumming
GA 30041-5960
Gender M
Credential MD
Medical School COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 1993
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties CARDIAC SURGERY, INTERNAL MEDICINE, PULMONARY DISEASE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110005 NORTHSIDE HOSPITAL FORSYTH

Other Locations

Address Phone Organization
950 Sanders Rd, Cumming, GA 30041-5960

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Office Location

Street Address 950 SANDERS RD
City CUMMING
State GA
Zip 30041-5960

Physicians in the same zip code

Name Specialty Organization Address
Max M Benson Interventional Cardiology Northside Cardiovascular Professional Services,llc 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041
William G Littlefield Hand Surgery Peachtree Orthopaedic Clinic Pa 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041
Neil Tarabadkar Orthopedic Surgery Peachtree Orthopaedic Clinic Pa 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041
Amit Tibrewala Internal Medicine Northside Cardiovascular Professional Services,llc 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041
Kurt B Tompkins Chiropractic Tompkins Family Chiropractic Inc. 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500
Eric W Tompkins Chiropractic Tompkins Family Chiropractic Inc. 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500
Eli M Goldsmith Chiropractic 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901
Dominik Alan Shannon Physical Therapy Benchmark Physical Therapy, Inc 1370 Buford Hwy 108, Cumming, GA 30041-2723
Dwarakinath Harish Nephrology 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723
Coleen Rodney Brown Physical Therapy Benchmark Physical Therapy, Inc 1370 Buford Hwy 108, Cumming, GA 30041-2723
Find all physicians in zip 30041

Competitor

Search similar physicians

City CUMMING
Zip Code 30041
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty CUMMING + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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