DR. EDWARD URBAN KISSEL III M.D.
NPI 1205834686
Orthopaedic Surgery in Birmingham, AL

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
54.7/100
CMS Quality Rating
2700 10TH AVE S, STE 200, BIRMINGHAM, AL 35205(205) 933-7838(205) 933-0951 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward Urban Kissel Iii M.d. NPPES

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

DR. EDWARD URBAN KISSEL III M.D. (NPI 1205834686) is an individual orthopaedic surgery provider in Birmingham, Alabama, licensed in Alabama (11458) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1983).

NPPES Registry Identity

NPI1205834686
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. EDWARD URBAN KISSEL IIICredential: M.D.
Location Address2700 10TH AVE S, STE 200Birmingham, AL 35205-1248
Mailing Address2700 10th Ave S Ste 200Birmingham, AL 35205-1248 · (205) 933-7838
Fax(205) 933-0951
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1983
Enumeration DateJuly 11, 2005
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
NPI 1205834686 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 · 11458
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.
2700 10TH AVE S, Birmingham, AL 35205

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. Edward Urban Kissel Iii 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 ID8729980784
PECOS Enrollment IDI20101228000776
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 18

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
2,448 services35 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
894 services120 patients
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
736 services11 patients
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.
407 services230 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
299 services141 patients
X-ray of both knees while standing 73565
An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
114 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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.

54.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality49.26
Promoting Interoperability85
Improvement Activities40
Cost12.23

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
60%1,060 patients3/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.05%
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 7

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers26 claims26 services$50.95 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier28 claims28 services$7.97 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers23 claims23 services$47.46 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier36 claims850 services$14.68 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier23 claims26 services$96.86 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1832
DME-Orthotic Devices · category DF011N
1 supplier26 claims26 services$631.44 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 20

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

Audiologist
2700 10TH AVE S, SUITE 502
BIRMINGHAM, AL 35205
Internal Medicine (Gastroenterology)
2700 10TH AVE S, STE 406
BIRMINGHAM, AL 35205
Surgery
2700 10TH AVE S, SUITE 403
BIRMINGHAM, AL 35205
Nurse Practitioner (Pediatrics)
2700 10TH AVE S, POB 2, SUITE 401
BIRMINGHAM, AL 35205
Physician Assistant
2700 10TH AVE S, STE 200
BIRMINGHAM, AL 35205
Obstetrics & Gynecology
2700 10TH AVE S, SUITE 306
BIRMINGHAM, AL 35205
Occupational Therapist
2700 10TH AVE S, SUITE 200
BIRMINGHAM, AL 35205
Dermatology
2700 10TH AVE S, SUITE 501
BIRMINGHAM, AL 35205

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 Edward Kissel's NPI number?

The NPI number for Edward Kissel is 1205834686. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Edward Kissel located?

Edward Kissel practices at 2700 10th Ave S Ste 200, Birmingham, AL 35205. The listed phone number is (205) 933-7838.

What is Edward Kissel's specialty?

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

Is Edward Kissel enrolled in Medicare?

Yes. Edward Kissel 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 Edward Kissel 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 Edward Kissel 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 Edward Kissel was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.