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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LARRY DALE BROWN M.D.
NPI 1124114863
Ophthalmology - Retina Specialist in Birmingham, AL

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
250 STATE FARM PKWY, BIRMINGHAM, AL 35209(205) 943-4600(205) 943-4660 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2026, Mar 4, 2024, Jan 31, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Larry Dale Brown M.d. NPPES

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

DR. LARRY DALE BROWN M.D. (NPI 1124114863) is an individual retina specialist in Birmingham, Alabama, licensed in Alabama (MD.27550) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2001).

NPPES Registry Identity

NPI1124114863
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. LARRY DALE BROWNCredential: M.D.
Location Address250 STATE FARM PKWYBirmingham, AL 35209-7181
Mailing AddressPo Box 415000, Msc 8290 EhpaNashville, TN 37241-5000 · (205) 943-4600 · Fax (205) 943-4688
Phone(205) 943-4600
Fax(205) 943-4660
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2001
Enumeration DateOctober 4, 2006
Last NPPES UpdateSeptember 14, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1124114863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in AL · MD.27550
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
250 STATE FARM PKWY, Birmingham, AL 35209
Open in Google Maps ↗

Other Names 1

Other Name (5)Dale Brown Md

Other Identifiers 1

Other51140447AL · Bc

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. Larry Dale Brown 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 ID6901905801
PECOS Enrollment IDI20070618000361
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 Larry Brown reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Health Partners Of Alabama Inc
Same address
Optometrist
250 STATE FARM PKWY
Birmingham, AL 35209
  • Reassigned Medicare billing, Alabama enrollment
  • 21 clinicians in this Medicare group
NPI 1619923745 (205) 943-4600

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 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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
15,540 services69 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,482 services521 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.
936 services453 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
854 services223 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
648 services115 patients
Injection, dexamethasone, intravitreal implant, 0.1 mg J7312
This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.
399 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
85%167 patients4/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%167 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
89%385 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%131 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
99%133 patients4/55-star benchmark: 100%
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.
92%2,839 patients4/55-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.
85%412 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
0%974 patients1/55-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…
0%655 patients1/55-star benchmark: 98%
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.
99%733 patients4/55-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.
11%1,779 patients1/55-star benchmark: 100%
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…
2%414 patients1/55-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: 81% · 843 patients
Patients tobacco: 77% · 843 patients
41%71 patients2/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
89%87 patients4/55-star benchmark: 100%
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…
96%1,779 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,779 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 940 patients
0%940 patients5/55-star benchmark: 100%
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.

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.

DONALD P. MCCURDY, MD, PC
Ophthalmology
250 STATE FARM PKWY
BIRMINGHAM, AL 35209
Jefferson County (205) 943-4600
SOUTHERN RETINA LLC
Ophthalmology
250 STATE FARM PKWY
BIRMINGHAM, AL 35209
Jefferson County (205) 943-4600
PAUL DENNIS BATSON O.D.
Optometrist
250 STATE FARM PKWY
BIRMINGHAM, AL 35209
Jefferson County (205) 943-4600
S J HAYS MD PC
Ophthalmology
250 STATE FARM PKWY
BIRMINGHAM, AL 35209
Jefferson County (205) 943-4650
AMANDA JILL ESSLINGER HELTON O.D.
Optometrist
250 STATE FARM PKWY
BIRMINGHAM, AL 35209
Jefferson County (205) 943-4600
DR. HARTLEY ELISE NICHOLS O.D.
Optometrist
250 STATE FARM PKWY
BIRMINGHAM, AL 35209
Jefferson County (205) 943-4600
JAMES W MARBOURG O.D.
Optometrist
250 STATE FARM PKWY
BIRMINGHAM, AL 35209
Jefferson County (205) 943-4600
MAMTA D SOMAIYA MD PC
Ophthalmology
250 STATE FARM PKWY
BIRMINGHAM, AL 35209
Jefferson County (205) 943-4600

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 Larry Brown's NPI number?

The NPI number for Larry Brown is 1124114863. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Dale Brown MD.

Where is Larry Brown located?

Larry Brown practices at 250 State Farm Pkwy, Birmingham, AL 35209. The listed phone number is (205) 943-4600.

What is Larry Brown's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Larry Brown enrolled in Medicare?

Yes. Larry Brown 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 organization bills Medicare for Larry Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Brown reassigns Medicare benefits to Eye Health Partners Of Alabama Inc (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 Larry Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Brown accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list Larry Brown 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 Larry Brown was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.