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DR. JERRY GREGORY ADDERHOLT JR. MD
NPI 1013951185
Neurological Surgery in Florence, AL

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
83.9/100
CMS Quality Rating
426 EAST DR.HICKS BLVD, FLORENCE, AL 35630(256) 764-7721(256) 764-8589 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerry Gregory Adderholt Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY GREGORY ADDERHOLT JR. MD (NPI 1013951185) is an individual neurological surgery provider in Florence, Alabama, licensed in Alabama (19765) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1990).

NPPES Registry Identity

NPI1013951185
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JERRY GREGORY ADDERHOLT JR.Credential: MD
Location Address426 EAST DR.HICKS BLVDFlorence, AL 35630-6625
Mailing Address426 East Doctor Hicks BlvdFlorence, AL 35630-6625 · (256) 764-7721 · Fax (256) 764-8589
Phone(256) 764-7721
Fax(256) 764-8589
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1990
Enumeration DateJune 16, 2006
Last NPPES UpdateMay 3, 2011
✔ NPI 1013951185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in AL · 19765
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSpecialistTaxonomy 174400000X · License 19765 (AL)
426 EAST DR.HICKS BLVD, Florence, AL 35630
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Other Identifiers 3

Medicare UPINF53145AL
Medicare PIN051527915AL
Medicaid009999445AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry Gregory Adderholt Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880634914
PECOS Enrollment IDI20050509000736
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
107 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services57 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
34 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.8
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%167 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%117 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
29%35 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
83%882 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
74%284 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%555 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%522 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%690 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 50% · 272 patients
Patients screened: 54% · 272 patients
66%32 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 301 patients
Patients totalRate: 1% · 301 patients
1%301 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Adderholt's NPI number?

The NPI number for Jerry Adderholt is 1013951185. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Jerry Adderholt located?

Jerry Adderholt practices at 426 East Dr.Hicks Blvd, Florence, AL 35630. The listed phone number is (256) 764-7721.

What is Jerry Adderholt's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Jerry Adderholt enrolled in Medicare?

Yes. Jerry Adderholt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jerry Adderholt accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list Jerry Adderholt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Adderholt was last updated on May 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.