DR. ALBERT TEIKO TAGOE (M.D.) – Vascular Surgery Physician, NPI 1639130453

DR. ALBERT TEIKO TAGOE (M.D.) is a healthcare provider. based in Stockbridge, Georgia. specializing in Vascular Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 33720 (GA). The NPI Number for DR. ALBERT TEIKO TAGOE (M.D.) is 1639130453

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALBERT TEIKO TAGOE (M.D.)
NPI
1639130453
Phone
(770) 474-3882
Address
150 COUNTRY CLUB DR STE 100
Enumeration Date
31 March 2006
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704743882
Graduation Year
1979 (47 years ago)
PAC ID
5991619454
Group Practice PAC ID
5395659841
Professional Enrollment ID
I20031121000386
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. ALBERT TEIKO TAGOE (M.D.)

  • 150 COUNTRY CLUB DR STE 100

    STOCKBRIDGE, GA 302819089

    Phone: (770) 474-3882

    Fax: (404) 420-2091

    Type: Location

  • Palm Harbor Boulevard, Cove Springs, Palm Harbor, Pinellas County, Florida, 34683, United States

    STE A

    PALM HARBOR, FL 346831930

    Phone: (727) 501-6050

    Fax: (727) 474-4783

    Type: Mailing

  • 150, Country Club Drive, Stockbridge, Henry County, Georgia, 30281, United States

    SUITE 100

    STOCKBRIDGE, GA 302817344

    Phone: (770) 474-3882

    Fax: (770) 474-9392

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,389.

Total Amount is formed as General ($1,389) + Research ($0) + Ownership ($0) = $1,389.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Medtronic, Inc. ($747).

Total Amount

$1,389

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,389

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2003-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031121000386IVascular SurgeryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3929$0
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist2220$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Provider's Procedures

DR. ALBERT TEIKO TAGOE (M.D.) performs procedures in Vascular Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYGA93926Ultrasound study of arteries and arterial grafts of one leg or limited1311
VASCULAR SURGERYGA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3533

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395659841View full group profile
NameSpecialtyState
-GA

Reviews

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Frequently asked questions

Where can patients find DR. ALBERT TEIKO TAGOE (M.D.)'s NPI?
You can confirm DR. ALBERT TEIKO TAGOE (M.D.) with NPI 1639130453; it appears in the national provider directory.
Is DR. ALBERT TEIKO TAGOE (M.D.) active in the national directory?
DR. ALBERT TEIKO TAGOE (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. ALBERT TEIKO TAGOE (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. ALBERT TEIKO TAGOE (M.D.) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ALBERT TEIKO TAGOE (M.D.)'s primary listing?
We display Stockbridge, Georgia because that is what the record indicates for DR. ALBERT TEIKO TAGOE (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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