FANNY SARAH ALIE-CUSSON MD
NPI 1225524978
Surgery - Vascular Surgery in Shelby, NC

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
111 W GROVER ST, SHELBY, NC 28150(980) 487-1900 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Nov 3, 2023, Jul 22, 2020 and 2 more (5 updates tracked since 2018).

About Fanny Sarah Alie-cusson Md NPPES

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

FANNY SARAH ALIE-CUSSON MD (NPI 1225524978) is an individual vascular surgery provider in Shelby, North Carolina, licensed in North Carolina (2023-02260) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1225524978
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameFANNY SARAH ALIE-CUSSONCredential: MD
Location Address111 W GROVER STShelby, NC 28150-3824
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversite De Montreal, Faculte De MedecineGraduated 2013
Enumeration DateJuly 5, 2018
Last NPPES UpdateJuly 15, 20245 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1225524978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in NC · 2023-02260
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 2023-02260 (NC)
111 W GROVER ST, Shelby, NC 28150

Secondary Practice Locations 4

Location 11550 Faulk St, Ste 3100Monroe, NC 28112-5086 · Phone (704) 667-3410
Location 2447 McAlister Rd, STE 3200Lincolnton, NC 28092-4114 · Phone (980) 212-6300
Location 310650 Park RdCharlotte, NC 28210-8538 · Phone (704) 667-3840
Location 4100 Medical Park Dr, Ste 210Concord, NC 28025-2948 · Phone (704) 403-6100

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fanny Sarah Alie-cusson 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 ID7315363017
PECOS Enrollment IDI20240110003229, I20250723004315
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 Fanny Alie-cusson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
111 W GROVER ST
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
Multi-Specialty
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 483 clinicians in this Medicare group

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 15

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.

Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
104 services86 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
96 services91 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
66 services59 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services31 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
39 services35 patients
Ultrasound of one leg arteries or artery grafts 93926
An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
36 services28 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 18

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

Internal Medicine
111 W GROVER ST
SHELBY, NC 28150
Nurse Practitioner
111 W GROVER ST
SHELBY, NC 28150
Nurse Practitioner (Family)
111 W GROVER ST
SHELBY, NC 28150
Physician Assistant
111 W GROVER ST
SHELBY, NC 28150
Physician Assistant
111 W GROVER ST
SHELBY, NC 28150
Physician Assistant
111 W GROVER ST
SHELBY, NC 28150
Physician Assistant
111 W GROVER ST
SHELBY, NC 28150
Internal Medicine
111 W GROVER ST
SHELBY, NC 28150

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 Fanny Alie-cusson's NPI number?

The NPI number for Fanny Alie-cusson is 1225524978. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Fanny Alie-cusson located?

Fanny Alie-cusson practices at 111 W Grover St, Shelby, NC 28150. The listed phone number is (980) 487-1900.

What is Fanny Alie-cusson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Fanny Alie-cusson enrolled in Medicare?

Yes. Fanny Alie-cusson 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.

Which organizations bill Medicare for Fanny Alie-cusson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fanny Alie-cusson reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network, Inc. (Shelby, NC) and Health Services Of Central Georgia, Inc (Macon, GA). 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 Fanny Alie-cusson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fanny Alie-cusson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Fanny Alie-cusson 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.

Is Fanny Alie-cusson affiliated with any hospitals?

According to CMS data, Fanny Alie-cusson is affiliated with Atrium Health Cleveland, Carolinas Medical Center/Behav Health and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Fanny Alie-cusson was last updated on July 15, 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.