DR. JUAQUITO MARIO JORGE (MD) – Surgery Physician, NPI 1629206511
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
Provider Addresses for DR. JUAQUITO MARIO JORGE (MD)
818 SAINT SEBASTIAN WAY STE 200
AUGUSTA, GA 309012652
Phone:
Type: Mailing
1410 W POLK ST, APT 2 FRONT
NONE
CHICAGO, IL 60607
Phone: (312) 523-1424
Type: Location
1950 N Harlem Ave
Elmwood Park, IL 607073717
Phone: (708) 453-6800
Fax: (708) 453-3985
Type: Location
1410 W Polk St, Apt 2 Front
None
Chicago, IL 60607
Phone: (312) 523-1424
Type: Location
West Polk Street, Near West Side, Chicago, West Chicago Township, Cook County, Illinois, 60699, United States
NONE
CHICAGO, IL 606074151
Phone: (312) 523-1424
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $4,209.
Total Amount is formed as General ($4,209) + Research ($0) + Ownership ($0) = $4,209.
Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Medtronic, Inc. ($1,230).
Total Amount
$4,209
General + Research + Ownership
Payments
56
Total payment records
General Amount
$4,209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,230 |
| Kerecis Limited | $626 |
| Becton, Dickinson and Company | $517 |
| MIMEDX Group, Inc. | $292 |
| Integra LifeSciences Corporation | $261 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130208000261 | I | General Surgery | IL | TBD |
| I20250122000844 | I | General Surgery | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 35 | 30 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 21 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 30901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| Nurse Practitioner | GA | |
| Critical Care (Intensivists), Pulmonary Disease, Sleep Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| General Surgery | GA | |
| Surgical Oncology | WA | |
| R H E U M A T O L O G Y | GA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pediatric Medicine | GA |
Reviews
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