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ALISON ALEXANDER MD
NPI 1215096243
Internal Medicine - Geriatric Medicine in Narbeth, PA

Active since December 06, 2006PECOS Enrolled
MAINLINE MEDICAL GROUP, 857 MONTGOMERY AVENUE, NARBETH, PA 19072(610) 664-2951(610) 664-2131 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alison Alexander Md NPPES

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

ALISON ALEXANDER MD (NPI 1215096243) is an individual geriatric medicine provider in Narbeth, Pennsylvania, licensed in Pennsylvania (MD056081-L) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215096243
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameALISON ALEXANDERCredential: MD
Location AddressMAINLINE MEDICAL GROUP, 857 MONTGOMERY AVENUENarbeth, PA 19072
Mailing AddressPo Box 820933Phila, PA 19182-0933 · (215) 926-9022 · Fax (215) 226-8286
Phone(610) 664-2951
Fax(610) 664-2131
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateMarch 8, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1215096243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in PA · MD056081-L
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
MAINLINE MEDICAL GROUP, Narbeth, PA 19072
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Other Identifiers 9

Other1957179PA · Hbs
Other2836592000PA · Ibc/khpe/pc
Other1855795PA · Cigna Pin
Other2053189PA · United Healthcare
Other597586PA · Medicare Group
OtherP00721294PA · Rr Medicare
Other5552322PA · Aetna Pin
Medicaid102117408PA
Other3Y6260PA · Health Net

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alison Alexander Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Alison Alexander reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Main Line Medical Group Ltd
0.7 mi
Family Medicine
857 MONTGOMERY AVE
Narberth, PA 19072
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 clinicians in this Medicare group
NPI 1760415913 (610) 664-2951
Einstein Practice Plan Inc
2.8 mi
Psychiatry
4200 MONUMENT AVE
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1144272733 (215) 456-7000

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,419 services293 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
230 services196 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
115 services111 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
80 services67 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.
40 services14 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19072 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$23.04 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$4.72 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims474 services$6.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Alison Alexander's NPI number?

The NPI number for Alison Alexander is 1215096243. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Alison Alexander located?

Alison Alexander practices at Mainline Medical Group 857 Montgomery Avenue, Narbeth, PA 19072. The listed phone number is (610) 664-2951.

What is Alison Alexander's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Alison Alexander enrolled in Medicare?

Yes. Alison Alexander is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alison Alexander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Alexander reassigns Medicare benefits to 2 organizations: Main Line Medical Group Ltd (Narberth, PA) and Einstein Practice Plan Inc (Philadelphia, PA). Each 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 Alison Alexander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alison Alexander accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Alison Alexander 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 Alison Alexander was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.