STEPHEN PATRICK COWLEY MD
NPI 1053389031
Orthopaedic Surgery in Birmingham, AL

Active since March 08, 2006PECOS Enrolled
87.47/100
CMS Quality Rating
720 MONTCLAIR RD, SUITE101, BIRMINGHAM, AL 35213(205) 397-5200(205) 397-5210 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephen Patrick Cowley Md NPPES

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

STEPHEN PATRICK COWLEY MD (NPI 1053389031) is an individual orthopaedic surgery provider in Birmingham, Alabama, licensed in Alabama (8461) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053389031
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSTEPHEN PATRICK COWLEYCredential: MD
Location Address720 MONTCLAIR RD, SUITE101Birmingham, AL 35213-1964
Mailing Address720 Montclair Rd, Suite101Birmingham, AL 35213-1964 · (205) 397-5200 · Fax (205) 397-5210
Fax(205) 397-5210
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 9, 2012
✔ NPI 1053389031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AL · 8461
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
720 MONTCLAIR RD, Birmingham, AL 35213

Other Identifiers 2

Medicare UPINC75344
Medicare PIN51555792

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Patrick Cowley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Stephen Cowley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
3686 GRANDVIEW PKWY STE 820
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 126 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35213 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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Orthopaedic Surgery (Sports Medicine)
720 MONTCLAIR RD
BIRMINGHAM, AL 35213
Orthopaedic Surgery
720 MONTCLAIR RD, SUITE 200
BIRMINGHAM, AL 35213
Clinic/Center (Physical Therapy)
720 MONTCLAIR RD
BIRMINGHAM, AL 35213
Physical Therapist
720 MONTCLAIR RD
BIRMINGHAM, AL 35213
Physical Therapist
720 MONTCLAIR RD, STE 200
BIRMINGHAM, AL 35213
Occupational Therapist
720 MONTCLAIR RD, SUITE 100
BIRMINGHAM, AL 35213
Physical Therapist
720 MONTCLAIR RD, STE 202
BIRMINGHAM, AL 35213
Physician Assistant
720 MONTCLAIR RD
BIRMINGHAM, AL 35213

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 Stephen Cowley's NPI number?

The NPI number for Stephen Cowley is 1053389031. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Stephen Cowley located?

Stephen Cowley practices at 720 Montclair Rd Suite101, Birmingham, AL 35213. The listed phone number is (205) 397-5200.

What is Stephen Cowley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stephen Cowley enrolled in Medicare?

Yes. Stephen Cowley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephen Cowley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Cowley reassigns Medicare benefits to Affinity Physician Services LLC (Birmingham, AL). The 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 Stephen Cowley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Cowley accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Stephen Cowley 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 Stephen Cowley was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.