DR. ELIAS DAGNEW (M.D.) – Neurological Surgery Physician, NPI 1962408930
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
187 NEUROSURGERY in GA
Provider Addresses for DR. ELIAS DAGNEW (M.D.)
Bubba's Pet Emporium, 11877, Douglas Road, Ocee, Johns Creek, Fulton, Georgia, 30005, United States
SUITE 102-272
ALPHARETTA, GA 300054325
Phone: (404) 446-4424
Fax: (404) 446-4420
Type: Mailing
9635 VENTANA WAY STE 201
JOHNS CREEK, GA 300228622
Phone: (404) 446-4424
Fax: (404) 446-4420
Type: Location
203 Oakside Ln Ste A
Canton, GA 301146407
Phone: (404) 446-4424
Fax: (404) 446-4420
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: 4WEB, INC. ($45).
Total Amount
$63
General + Research + Ownership
Payments
2
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| 4WEB, INC. | $45 |
| Xtant Medical Inc | $18 |
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: 2004-07-20
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040720000700 | I | Neurosurgery | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 66 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 39 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 41 | $0 |
| 72050 | X-ray of upper spine, 4-5 views | 20 | 15 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 18 | 16 | $0 |
Insurance plans in this area (ZIP 30005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | GA | |
| Physical Therapist In Private Practice | MI |
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