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DR. MARCIA JANE CHESEBRO MD
NPI 1225003924
Family Medicine in Huntsville, AL

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
84.33/100
CMS Quality Rating
301 GOVERNORS DRIVE, HUNTSVILLE, AL 35801(256) 536-5511(256) 551-4699 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marcia Jane Chesebro Md NPPES

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

DR. MARCIA JANE CHESEBRO MD (NPI 1225003924) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (4529) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1979).

NPPES Registry Identity

NPI1225003924
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARCIA JANE CHESEBROCredential: MD
Location Address301 GOVERNORS DRIVEHuntsville, AL 35801
Mailing Address301 Governors DriveHuntsville, AL 35801 · (256) 536-5511 · Fax (256) 551-4699
Phone(256) 536-5511
Fax(256) 551-4699
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1979
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 2, 2010
✔ NPI 1225003924 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 · 4529
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.
301 GOVERNORS DRIVE, Huntsville, AL 35801
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Other Identifiers 3

Medicare ID-Type Unspecified000084825AL
Medicaid000084825AL
Medicare UPINC72092

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

Dr. Marcia Jane Chesebro 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 ID8527192012
PECOS Enrollment IDI20100819000614
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 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.

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.
180 services145 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
148 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services23 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
51 services19 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.
41 services41 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.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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.

84.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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
9 suppliers28 claims71 services$6.00 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier27 claims468 services$3.10 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims345 services$3.32 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$5.62 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers22 claims11,305 services$0.31 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers26 claims26 services$54.94 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 5

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

DR. LOURDES CARLOTTA CORMAN MD
Internal Medicine
301 GOVERNORS DRIVE
HUNTSVILLE, AL 35801
Madison County (256) 536-5511
JAMES R LIGHT M.D.
Obstetrics & Gynecology
301 GOVERNORS DRIVE
HUNTSVILLE, AL 35801
Madison County (256) 551-4480
DAVID EDWARD GREEN M.D.
Obstetrics & Gynecology
301 GOVERNORS DRIVE
HUNTSVILLE, AL 35801
Madison County (256) 551-4480
CHRISTOPHER ALAN JOHNSON MD
Student in an Organized Health Care Education/Training Program
301 GOVERNORS DRIVE, UAB
HUNTSVILLE, AL 35801
Madison County (334) 714-2731
DR. MICHAEL DWAYNE BROWN O.D.
Optometrist
301 GOVERNORS DRIVE, VA CBOC, UAB MEDICAL BUILDING
HUNTSVILLE, AL 35801
Madison County (256) 535-3100

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 Marcia Chesebro's NPI number?

The NPI number for Marcia Chesebro is 1225003924. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Marcia Chesebro located?

Marcia Chesebro practices at 301 Governors Drive, Huntsville, AL 35801. The listed phone number is (256) 536-5511.

What is Marcia Chesebro's specialty?

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

Is Marcia Chesebro enrolled in Medicare?

Yes. Marcia Chesebro 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 Marcia Chesebro 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 Marcia Chesebro 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 Marcia Chesebro was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.