CAROLINE HOWARD STUDDARD MD
NPI 1215319058
Internal Medicine in Vestavia, AL

Active since June 28, 2015PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
8000 LIBERTY PKWY STE 114, VESTAVIA, AL 35242(205) 968-5988(205) 968-5990 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 2, 2023, Nov 4, 2022, Jan 5, 2022 and 2 more (5 updates tracked since 2019).

About Caroline Howard Studdard Md NPPES

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

CAROLINE HOWARD STUDDARD MD (NPI 1215319058) is an individual internal medicine provider in Vestavia, Alabama, licensed in Alabama (35628) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215319058
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCAROLINE HOWARD STUDDARDCredential: MD
Location Address8000 LIBERTY PKWY STE 114Vestavia, AL 35242-7563
Mailing Address8000 Liberty Pkwy Ste 114Vestavia, AL 35242-7563 · (205) 968-5988 · Fax (205) 968-5990
Fax(205) 968-5990
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 28, 2015
Last NPPES UpdateFebruary 2, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
NPI 1215319058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AL · 35628
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8000 LIBERTY PKWY STE 114, Vestavia, AL 35242

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

Caroline Howard Studdard 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 ID9234447749
PECOS Enrollment IDI20180913002598
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
58 services43 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.
42 services42 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.
26 services22 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.
19 services14 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Family Medicine
8000 LIBERTY PKWY STE 114
VESTAVIA, AL 35242
Physician Assistant
8000 LIBERTY PKWY STE 114
VESTAVIA, AL 35242
Nurse Practitioner (Family)
8000 LIBERTY PKWY STE 114
VESTAVIA, AL 35242
Nurse Practitioner (Family)
8000 LIBERTY PKWY STE 114
VESTAVIA, AL 35242
Nurse Practitioner (Family)
8000 LIBERTY PKWY STE 114
VESTAVIA, AL 35242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215319058, enumerated as an "individual" on June 28, 2015.

The provider is located at 8000 LIBERTY PKWY STE 114 VESTAVIA, AL 35242 and the phone number is (205) 968-5988.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.