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DR. KEVIN MCCLAIN COTTINGHAM M.D.
NPI 1043279797
Surgery in Cullman, AL

Active since March 21, 2006PECOS EnrolledAccepts Medicare Assignment
1890 AL HIGHWAY 157, POB II STE 420-B, CULLMAN, AL 35058(256) 736-2263(256) 736-2265 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin Mcclain Cottingham M.d. NPPES

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

DR. KEVIN MCCLAIN COTTINGHAM M.D. (NPI 1043279797) is an individual surgery provider in Cullman, Alabama, licensed in Alabama (24471) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1999).

NPPES Registry Identity

NPI1043279797
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KEVIN MCCLAIN COTTINGHAMCredential: M.D.
Location Address1890 AL HIGHWAY 157, POB II STE 420-BCullman, AL 35058-3601
Mailing Address1890 Al Highway 157, Pob Ii Ste 420-bCullman, AL 35058-3601 · (256) 736-2263 · Fax (256) 736-2265
Phone(256) 736-2263
Fax(256) 736-2265
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1999
Enumeration DateMarch 21, 2006
Last NPPES UpdateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1043279797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 24471
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1890 AL HIGHWAY 157, Cullman, AL 35058
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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. Kevin Mcclain Cottingham 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 ID42297368
PECOS Enrollment IDI20040706000439
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 10

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.

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.
105 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
43 services25 patients
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.
42 services42 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.
41 services38 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
34 services33 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35058 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,318 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%314 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
12%515 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%365 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
50%812 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%655 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 86% · 482 patients
Patients tobacco: 3% · 32 patients
69%241 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
31%812 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%812 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier14 claims350 services$4.11 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims4,080 services$0.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DESIREE A WASHBURN NP
Nurse Practitioner
1890 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 903-0300
NANCY CORNELL
Nurse Practitioner (Family)
1890 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 737-8000
MELINDA HART MD
Internal Medicine
1890 AL HIGHWAY 157, SUITE 300
CULLMAN, AL 35058
Cullman County (256) 737-8000
STACEY HERREN EARLS CRNP
Nurse Practitioner (Family)
1890 AL HIGHWAY 157, SUITE 300
CULLMAN, AL 35058
Cullman County (256) 737-8000
LISA ELLARD CRNP
Nurse Practitioner (Family)
1890 AL HIGHWAY 157, SUITE 300
CULLMAN, AL 35058
Cullman County (256) 737-8000
DR. ALLISON COX NEWMAN MD
Family Medicine
1890 AL HIGHWAY 157, SUITE 300
CULLMAN, AL 35058
Cullman County (256) 737-8000
DR. DARRYLE P BULLARD MD
Internal Medicine (Pulmonary Disease)
1890 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 737-5175
KENNETH ROBERT MURRAY MD
Psychiatry & Neurology (Neurology)
1890 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 903-0300

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 Kevin Cottingham's NPI number?

The NPI number for Kevin Cottingham is 1043279797. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Kevin Cottingham located?

Kevin Cottingham practices at 1890 Al Highway 157 Pob II Ste 420-B, Cullman, AL 35058. The listed phone number is (256) 736-2263.

What is Kevin Cottingham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin Cottingham enrolled in Medicare?

Yes. Kevin Cottingham 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 Kevin Cottingham 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 1 other insurer list Kevin Cottingham 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 Kevin Cottingham was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.