Active NPI
Howard J Perofsky, M D
- Plastic and Reconstructive Surgery Physician
- Macon, GA
National Provider Identifier
1013918457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 032452
- Practice address
- 682 Hemlock St
Suite 230
Macon, GA 31201-6883 - Phone
- (478) 742-4847
- Fax
- (478) 742-5442
- NPI assigned
- Aug 9, 2005
- Last updated
- Dec 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 032452 | GA | Primary |
Addresses
Primary practice location
682 Hemlock St
Suite 230
Macon, GA 31201-6883
Mailing address
682 Hemlock St
Suite 230
Macon, GA 31201-6883
Phone (478) 742-4847
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581859020 | Other | GA | AETNA HEALTH PLANS |
| 581859020 | Other | GA | CIGNA |
| 319715 | Medicaid | GA | |
| 581859020 | Other | GA | GEORGIA BLUE SHIELD |
| 581859020 | Other | GA | TRICARE/CHAMPUS |
| 240002535 | Other | GA | RETIRED RAILROAD MEDICARE |
| 000410473A | Medicaid | GA | |
| 581859020 | Other | GA | HUMANA |
| 581859020 | Other | GA | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100105000017 | GA | Practitioner - Plastic and Reconstructive Surgery | 1850432436 | Practice locations: Macon, GA; Warner Robins, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Columbia University College of Physicians and Surgeons, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
116 Tommy Stalnaker Dr a
Warner Robins, GA 31088-8983
Phone (478) 742-4847
682 Hemlock St
Suite 230
Macon, GA 31201-8315
Phone (478) 742-4847
682 Hemlock Street
Suite 230
Macon, GA 31201-8315
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
- Coliseum Medical Centers, LLC, Dba
- Emory Houston Hospital Warner Robins
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 21 |
| Melanoma (skin cancer) excision | 72 |
| Removal of tissue | 242 |
| Removal of skin lesions | 12 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032452 | GA | MD | Plastic and Reconstructive Surgery Physician |
Interoperability endpoints
- howard.perofsky@hpmd.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/AFAFAA/Endpoint/AFAFAA
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Macon Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
dba Emory Hospital Warner Robins
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419552000000",
"number": "1013918457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 HEMLOCK ST",
"address_2": "SUITE 230",
"city": "MACON",
"state": "GA",
"postal_code": "312016883",
"telephone_number": "478-742-4847",
"fax_number": "478-742-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 HEMLOCK ST",
"address_2": "SUITE 230",
"city": "MACON",
"state": "GA",
"postal_code": "312016883",
"telephone_number": "478-742-4847",
"fax_number": "478-742-5442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROFSKY",
"first_name": "HOWARD",
"middle_name": "J",
"credential": "M D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2014-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "GA",
"license": "032452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "581859020",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "581859020",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "319715",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BLUE SHIELD",
"identifier": "581859020",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "581859020",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETIRED RAILROAD MEDICARE",
"identifier": "240002535",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000410473A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "581859020",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "581859020",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.