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DR. VERNON D. HORST M.D.
NPI 1033478466
Surgery - Vascular Surgery in Birmingham, AL

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
817 PRINCETON AVE SW, BIRMINGHAM, AL 35211(205) 783-0160(205) 788-6249 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2023, Mar 25, 2020, May 22, 2018 (3 updates tracked since 2018).

About Dr. Vernon D. Horst M.d. NPPES

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

DR. VERNON D. HORST M.D. (NPI 1033478466) is an individual vascular surgery provider in Birmingham, Alabama, licensed in Alabama (MD.32977) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alabaster, and is a graduate of Medical College Of Georgia School Of Medicine (2012).

NPPES Registry Identity

NPI1033478466
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. VERNON D. HORSTCredential: M.D.
Location Address817 PRINCETON AVE SWBirmingham, AL 35211-1333
Mailing Address817 Princeton Ave SwBirmingham, AL 35211-1333 · (205) 783-0160
Phone(205) 783-0160
Fax(205) 788-6249
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012
Enumeration DateMay 4, 2012
Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1033478466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in AL · MD.32977
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
817 PRINCETON AVE SW, Birmingham, AL 35211
Open in Google Maps ↗

Secondary Practice Location 1

Location 1644 2nd St NE Ste 206Alabaster, AL 35007-8823 · Phone (205) 783-0160 · Fax (205) 788-6249

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vernon D. Horst 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 ID6709020068
PECOS Enrollment IDI20200810001624
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Vernon Horst reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular Associates Of Birmingham, PC
Same address
Vascular Surgery
817 PRINCETON AVE SW, SUITE 306
Birmingham, AL 35211
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1841244886 (205) 783-0160
Alabama Vascular Solutions , LLC
17 mi
Vascular Surgery
1004 1ST ST N, STE 150
Alabaster, AL 35007
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1609266386 (205) 664-2420
Tombigbee Healthcare Authority
89 mi
Rural Health
203 US HIGHWAY 80 W
Demopolis, AL 36732
  • Reassigned Medicare billing, Alabama enrollment
  • 100 clinicians in this Medicare group
NPI 1487291761 (334) 289-1517
Rush Hospital/Butler, Inc
125 mi
Emergency Medicine
401 VANITY FAIR LANE
Butler, AL 36904
  • Reassigned Medicare billing, Alabama enrollment
  • Also billed through NPI 1184993727 (Alabama)
  • 77 clinicians in this Medicare group
NPI 1811268592 (205) 459-9100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services49 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.
33 services23 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
20 services20 patients
Insertion of tunneled central venous tube for infusion (5 years or older) 36558
The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35211 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.11
Promoting Interoperability100
Improvement Activities40
Cost100

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.

PRINCETON WOMENS CARE
Obstetrics & Gynecology (Maternal & Fetal Medicine)
817 PRINCETON AVE SW, POB II; SUITE 120
BIRMINGHAM, AL 35211
Jefferson County (205) 781-7123
DR. VASUDEVA RAO GOLI M.D.
Internal Medicine (Cardiovascular Disease)
817 PRINCETON AVE SW, PROFESSIONAL BLDG 2 SUITE 202
BIRMINGHAM, AL 35211
Jefferson County (205) 786-8815
MR. JODY ST.CLAIR PA-C
Physician Assistant (Surgical)
817 PRINCETON AVE SW, POB II STE. 306
BIRMINGHAM, AL 35211
Jefferson County (205) 783-0160
THORACIC CARDIAC & VASCULAR SURGERY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
817 PRINCETON AVE SW, POB II, SUITE 300
BIRMINGHAM, AL 35211
Jefferson County (205) 780-8980
SOUTHEASTERN DERMATOLOGY CENTERS
Specialist
817 PRINCETON AVE SW, POB II, SUITE 302
BIRMINGHAM, AL 35211
Jefferson County (205) 781-6995
MRS. MINERVA AMPUTCH-YOUNG MS, LPC, NCC
Counselor (Professional)
817 PRINCETON AVE SW, SUITE 115
BIRMINGHAM, AL 35211
Jefferson County (205) 453-9888
ERIC BROWN CRNP
Nurse Practitioner (Gerontology)
817 PRINCETON AVE SW, SUITE 120
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3320
KARASSI ENDOCRINOLOGY & INTERNAL MEDICINE PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
817 PRINCETON AVE SW, SUITE 308
BIRMINGHAM, AL 35211
Jefferson County (205) 787-2669

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 Vernon Horst's NPI number?

The NPI number for Vernon Horst is 1033478466. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Vernon Horst located?

Vernon Horst practices at 817 Princeton Ave SW, Birmingham, AL 35211. The listed phone number is (205) 783-0160.

What is Vernon Horst's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Vernon Horst enrolled in Medicare?

Yes. Vernon Horst 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.

Which organizations bill Medicare for Vernon Horst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vernon Horst reassigns Medicare benefits to 4 organizations: Vascular Associates Of Birmingham, PC (Birmingham, AL), Alabama Vascular Solutions , LLC (Alabaster, AL), Tombigbee Healthcare Authority (Demopolis, AL) and Rush Hospital/Butler, Inc (Butler, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vernon Horst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vernon Horst accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Vernon Horst 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 Vernon Horst was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.