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DR. NANCY E PAJARO M.D.
NPI 1083713754
Family Medicine in Birmingham, AL

Active since September 21, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 01D2323151 · Waiver
3240 EDWARDS LAKE PKWY, SUITE 208, BIRMINGHAM, AL 35235(205) 661-9001(256) 464-9154 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nancy E Pajaro M.d. NPPES

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

DR. NANCY E PAJARO M.D. (NPI 1083713754) is an individual family medicine provider in Birmingham, Alabama, licensed in Alabama (16654) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 30, 2027, and is a graduate of Meharry Medical College School Of Medicine (1991).

NPPES Registry Identity

NPI1083713754
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NANCY E PAJAROCredential: M.D.
Location Address3240 EDWARDS LAKE PKWY, SUITE 208Birmingham, AL 35235-3117
Mailing AddressPo Box 381807Birmingham, AL 35238-1807 · (205) 661-9001 · Fax (256) 464-9154
Phone(205) 661-9001
Fax(256) 464-9154
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1991
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1083713754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 16654
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3240 EDWARDS LAKE PKWY, Birmingham, AL 35235
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified051509843AL
Medicare UPINF84059AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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. Nancy E Pajaro 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 ID4082666284
PECOS Enrollment IDI20050216000327
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2323151

Nancy E Pajaro MD Family Medicine · Birmingham, AL
Active · expires Apr 30, 2027
CLIA Number01D2323151
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorNancy E. Pajar
Laboratory Phone(205) 661-9001
Laboratory LocationNancy E Pajaro MD Family Medicine3240 Edwards Lake Parkway Suite 208, Birmingham, AL 35235
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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 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.
90 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services35 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
36 services36 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
35 services33 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
33 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

EDWARDS LAKE MEDICAL CENTER LLC
Specialist
3240 EDWARDS LAKE PKWY, SUITE 204
BIRMINGHAM, AL 35235
Jefferson County (205) 949-1414
JAMES BERNARD KELLY MD
Ophthalmology
3240 EDWARDS LAKE PKWY, STE 100
BIRMINGHAM, AL 35235
Jefferson County (205) 949-2020
ANDREAS TIRSO MADDUX MD
Internal Medicine (Nephrology)
3240 EDWARDS LAKE PKWY, 204
BIRMINGHAM, AL 35235
Jefferson County (205) 949-1414
VISIONFIRST EYE CENTER
Optometrist
3240 EDWARDS LAKE PKWY, SUITE 100
BIRMINGHAM, AL 35235
Jefferson County (205) 949-2020
VISIONFIRST EYE CENTER, INC
Ophthalmology
3240 EDWARDS LAKE PKWY, SUITE 100
BIRMINGHAM, AL 35235
Jefferson County (205) 949-2020
DR. REBECCA J DOSS OD
Optometrist
3240 EDWARDS LAKE PKWY, SUITE 100
BIRMINGHAM, AL 35235
Jefferson County (205) 949-2020
JANIS RANDALL RPH
Pharmacist
3240 EDWARDS LAKE PKWY, SUITE 202
BIRMINGHAM, AL 35235
Jefferson County (205) 661-2633

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 Nancy Pajaro's NPI number?

The NPI number for Nancy Pajaro is 1083713754. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Nancy Pajaro located?

Nancy Pajaro practices at 3240 Edwards Lake Pkwy Suite 208, Birmingham, AL 35235. The listed phone number is (205) 661-9001.

What is Nancy Pajaro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nancy Pajaro enrolled in Medicare?

Yes. Nancy Pajaro 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.

Does Nancy Pajaro hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2323151) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nancy Pajaro accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Nancy Pajaro 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 Nancy Pajaro was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.