CARLY ELSTON M.D.
NPI 1023429396
Dermatology in Birmingham, AL

Active since May 08, 2014PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
500 22ND ST S, BIRMINGHAM, AL 35233(205) 934-9999 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2019, Oct 17, 2018 (2 updates tracked since 2018).

About Carly Elston M.d. NPPES

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

CARLY ELSTON M.D. (NPI 1023429396) is an individual dermatology provider in Birmingham, Alabama, licensed in Alabama (38604) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023429396
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameCARLY ELSTONCredential: M.D.
Location Address500 22ND ST SBirmingham, AL 35233
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 8, 2014
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPI 1023429396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in AL · 38604 Licensed in OH · 35.134863
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
500 22ND ST S, Birmingham, AL 35233

Secondary Practice Location 1

Location 1500 22nd St SBirmingham, AL 35233-3110 · Phone (205) 934-9999

Accepted 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

Carly Elston M.d. 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 ID8123362894
PECOS Enrollment IDI20191029002362
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 18

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
813 services350 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
583 services378 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
85 services16 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
64 services15 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
61 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Unit
500 22ND ST S
BIRMINGHAM, AL 35233
Counselor (Professional)
500 22ND ST S
BIRMINGHAM, AL 35233
Dermatology
500 22ND ST S
BIRMINGHAM, AL 35233
Registered Nurse
500 22ND ST S
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
500 22ND ST S
BIRMINGHAM, AL 35233
Nurse Practitioner
500 22ND ST S
BIRMINGHAM, AL 35233
Internal Medicine
500 22ND ST S
BIRMINGHAM, AL 35233
Student in an Organized Health Care Education/Training Program
500 22ND ST S
BIRMINGHAM, AL 35233

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 Carly Elston's NPI number?

The NPI number for Carly Elston is 1023429396. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Carly Elston located?

Carly Elston practices at 500 22nd St S, Birmingham, AL 35233. The listed phone number is (205) 934-9999.

What is Carly Elston's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Carly Elston enrolled in Medicare?

Yes. Carly Elston 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 Carly Elston accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Carly Elston 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 Carly Elston was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.