DR. RACHEL M CHANCE MD
NPI 1124176722
Family Medicine in Prattville, AL

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
96.42/100
CMS Quality Rating
1595 E MAIN ST, PRATTVILLE, AL 36066(334) 361-7306(334) 361-8966 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rachel M Chance Md NPPES

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

DR. RACHEL M CHANCE MD (NPI 1124176722) is an individual family medicine provider in Prattville, Alabama, licensed in Alabama (00024583) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1999).

NPPES Registry Identity

NPI1124176722
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RACHEL M CHANCECredential: MD
Location Address1595 E MAIN STPrattville, AL 36066-5509
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159
Fax(334) 361-8966
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1999
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
NPI 1124176722 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 · 00024583
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.
1595 E MAIN ST, Prattville, AL 36066

Other Identifiers 2

Medicaid051552171AL
Other51511097AL · Blue Cross

Accepted 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. Rachel M Chance Md 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 ID4880794874
PECOS Enrollment IDI20070703000722
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 15

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.
686 services250 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.
186 services186 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.
178 services178 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
169 services75 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
111 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
101 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36066 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.

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.

96.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.37
Promoting Interoperability100
Improvement Activities40
Cost99.72

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
91%65 patients4/55-star benchmark: 100%
Breast Cancer Screening
87%425 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
55%788 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
71%711 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%326 patients5/55-star benchmark: 91%
e-Prescribing
99%3,477 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%556 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
55%846 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 74% · 1,172 patients
Patients screened: 76% · 1,172 patients
77%82 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%722 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims37 services$5.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims13 services$0.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers60 claims60 services$16.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers80 claims80 services$82.79 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers35 claims35 services$186.34 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 11

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

Nurse Practitioner (Family)
1595 E MAIN ST
PRATTVILLE, AL 36066
Family Medicine
1595 E MAIN ST
PRATTVILLE, AL 36066
Family Medicine
1595 E MAIN ST
PRATTVILLE, AL 36066
Nurse Practitioner (Family)
1595 E MAIN ST
PRATTVILLE, AL 36066
Family Medicine
1595 E MAIN ST
PRATTVILLE, AL 36066
Physician Assistant (Medical)
1595 E MAIN ST
PRATTVILLE, AL 36066
Clinic/Center (Primary Care)
1595 E MAIN ST
PRATTVILLE, AL 36066
Nurse Practitioner (Acute Care)
1595 E MAIN ST
PRATTVILLE, AL 36066

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 Rachel Chance's NPI number?

The NPI number for Rachel Chance is 1124176722. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Rachel Chance located?

Rachel Chance practices at 1595 E Main St, Prattville, AL 36066. The listed phone number is (334) 361-7306.

What is Rachel Chance's specialty?

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

Is Rachel Chance enrolled in Medicare?

Yes. Rachel Chance 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 Rachel Chance accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Rachel Chance 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 Rachel Chance was last updated on January 11, 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.