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ERIC LEE DUBOIS
NPI 1124319694
Surgery in Birmingham, AL

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment
75.38/100
CMS Quality Rating
52 MEDICAL PARK DR E, STE 308, BIRMINGHAM, AL 35235(205) 838-3025(205) 838-3897 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric Lee Dubois NPPES

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

ERIC LEE DUBOIS (NPI 1124319694) is an individual surgery provider in Birmingham, Alabama, licensed in Alabama (MD.33177) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124319694
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameERIC LEE DUBOIS
Location Address52 MEDICAL PARK DR E, STE 308Birmingham, AL 35235-3433
Mailing Address52 Medical Park Dr E, Ste 308Birmingham, AL 35235-3433 · (205) 838-3025 · Fax (205) 838-3897
Phone(205) 838-3025
Fax(205) 838-3897
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 2, 2011
Last NPPES UpdateFebruary 18, 2022
NPPES CertifiedFebruary 18, 2022
✔ NPI 1124319694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · MD.33177
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.

52 MEDICAL PARK DR E, Birmingham, AL 35235
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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

Eric Lee Dubois 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 ID2264666254
PECOS Enrollment IDI20160707000843
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 9

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.
148 services23 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
125 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 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.
30 services27 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.
25 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services13 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
$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.

75.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.63
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%164 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.
98%847 patients4/55-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…
82%339 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
86%65 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…
93%208 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.

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.

BERNIS A SIMMONS MD
Anesthesiology
52 MEDICAL PARK DR E, SUITE 321
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3055
W E CULVER CRNA
Nurse Anesthetist, Certified Registered
52 MEDICAL PARK DR E, SUITE 321
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3055
REA S HUNT MD
Anesthesiology
52 MEDICAL PARK DR E, SUITE 321
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3055
TADASHI KUBA M.D.
Psychiatry & Neurology (Neurology)
52 MEDICAL PARK DR E, SUITE 315
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3020
SANGAE KIM-PARK, MD, PC
Family Medicine
52 MEDICAL PARK DR E, SUITE 312
BIRMINGHAM, AL 35235
Jefferson County (205) 702-6602
ORTHOSPORTS ASSOCIATES, LLC
Orthopaedic Surgery
52 MEDICAL PARK DR E, STE 220
BIRMINGHAM, AL 35235
Jefferson County (205) 838-4747
WILLIAM W RECKNOR CRNP
Nurse Practitioner (Adult Health)
52 MEDICAL PARK DR E, STE 115
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3900
TAMMY R SOMERS CRNA
Nurse Anesthetist, Certified Registered
52 MEDICAL PARK DR E, SUITE 321
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3055

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 Eric Dubois's NPI number?

The NPI number for Eric Dubois is 1124319694. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Where is Eric Dubois located?

Eric Dubois practices at 52 Medical Park Dr E Ste 308, Birmingham, AL 35235. The listed phone number is (205) 838-3025.

What is Eric Dubois's specialty?

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

Is Eric Dubois enrolled in Medicare?

Yes. Eric Dubois 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 Eric Dubois 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 Eric Dubois 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 Eric Dubois was last updated on February 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.