DAWN K DECARLO OD
NPI 1225072820
Optometrist - Low Vision Rehabilitation in Birmingham, AL

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233(205) 934-6600 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dawn K Decarlo Od NPPES

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

DAWN K DECARLO OD (NPI 1225072820) is an individual low vision rehabilitation provider in Birmingham, Alabama, licensed in Alabama (SB27TA707) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1992).

NPPES Registry Identity

NPI1225072820
Entity TypeIndividualFemale
Primary Taxonomy152WL0500X
Provider Legal NameDAWN K DECARLOCredential: OD
Location Address619 19TH STREET SOUTHBirmingham, AL 35233
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1992
Enumeration DateJune 15, 2006
Last NPPES UpdateJune 15, 2011
NPI 1225072820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers
Taxonomy Code152WL0500X
License Licensed in AL · SB27TA707
Definition
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.
619 19TH STREET SOUTH, Birmingham, AL 35233

Other Identifiers 9

OtherU46032AL · Healthspring Of Alabama
Medicaid009934591AL
Other051558533AL · Bcbs Of Al
Other000058533AL · Medicare
Other051531953AL · Blue Cross
Medicaid000058533AL
Medicare PINP00278466AL
OtherU46032AL · Viva
Other027962004AL · Nsc

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

Dawn K Decarlo Od 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 ID6204860869
PECOS Enrollment IDI20050922000830
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$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.

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.

Psychiatry & Neurology (Psychiatry)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Social Worker (Clinical)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Neurological Surgery
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Psychiatry & Neurology (Neurology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine (Geriatric Medicine)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Anesthesiology
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233

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 Dawn Decarlo's NPI number?

The NPI number for Dawn Decarlo is 1225072820. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Dawn Decarlo located?

Dawn Decarlo practices at 619 19th Street South, Birmingham, AL 35233. The listed phone number is (205) 934-6600.

What is Dawn Decarlo's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is Dawn Decarlo enrolled in Medicare?

Yes. Dawn Decarlo 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 Dawn Decarlo accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Dawn Decarlo 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 Dawn Decarlo was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.