SANDRA KAYE GILLEY M.D.
NPI 1235342718
Internal Medicine - Pulmonary Disease in Birmingham, AL

Q: What is Sandra Gilley's NPI number?

The NPI number for Sandra Gilley is 1235342718. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Q: What is Sandra Gilley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Gilley was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 08, 2007PECOS Enrolled

85.63/100

CMS Quality Rating

3686 GRANDVIEW PKWY, SUITE 500, BIRMINGHAM, AL 35243(205) 802-2000(205) 802-2012 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2016, Feb 29, 2016 (2 updates tracked since 2016).

On this page

About Sandra Kaye Gilley M.d. NPPES

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

SANDRA KAYE GILLEY M.D. (NPI 1235342718) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in Alabama (MD.27224) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235342718

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameSANDRA KAYE GILLEYCredential: M.D.

Location Address3686 GRANDVIEW PKWY, SUITE 500Birmingham, AL 35243-3407

Mailing Address3686 Grandview Pkwy, Suite 500Birmingham, AL 35243-3407 · (205) 802-2000 · Fax (205) 802-2012

Phone(205) 802-2000

Fax(205) 802-2012

Sole ProprietorNo

Enumeration DateMay 8, 2007

Last NPPES UpdateMarch 25, 20162 updates tracked since enumeration

✔ NPI 1235342718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in AL · MD.27224

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD.27224 (AL), 30182 (SC)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD.27224 (AL)

3686 GRANDVIEW PKWY, Birmingham, AL 35243

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Kaye Gilley M.d. 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.

Areas of Expertise CMS Part B claims 4

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 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.

752 services60 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.

343 services49 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

52 services49 patients

Follow-up inpatient or observation ventilation assistance and management 94003

Follow-up inpatient or observation ventilation assistance and management involves continuous monitoring and adjustment of your ventilator while in the hospital. This ensures your lungs receive the right amount of air, promoting your recovery and well-being.

48 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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.

85.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

100

Improvement Activities

Cost

Reported Quality Measures

Advance Care Plan

48%877 patients2/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

19%74 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

12%360 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

89%87 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

0%50 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

98%50 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

57%1,403 patients2/55-star benchmark: 100%

e-Prescribing

93%878 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

24%601 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%493 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 87% · 343 patients

Patients screened: 91% · 343 patients

60%35 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

89%299 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%121 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 387 patients

Patients totalRate: 2% · 387 patients

1%387 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers18 claims46 services$1.54 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

3 suppliers16 claims36 services$1.06 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

9 suppliers25 claims25 services$90.78 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers27 claims78 services$34.95 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers20 claims20 services$19.48 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers24 claims24 services$17.53 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers33 claims198 services$2.35 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers59 claims65 services$15.53 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers35 claims35 services$41.94 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

2 suppliers13 claims13 services$756.26 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

6 suppliers88 claims89 services$778.65 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers53 claims58 services$5.84 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers24 claims24 services$31.02 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers148 claims151 services$78.49 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers41 claims45 services$34.77 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers36 claims10,388 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers11 claims1,950 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers15 claims1,230 services$0.78 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$34.72 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

10 suppliers51 claims51 services$25.01 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 18

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

BENJAMIN SCOTT JONES M.D.

Internal Medicine (Hematology & Oncology)

3686 GRANDVIEW PKWY, SUITE 510
BIRMINGHAM, AL 35243

Jefferson County (205) 971-5077

TONI ALMEIDA CRNP

Nurse Practitioner (Family)

3686 GRANDVIEW PKWY
BIRMINGHAM, AL 35243

Jefferson County (205) 971-7500

ERIN M OZGUN M.D.

Internal Medicine (Sleep Medicine)

3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243

Jefferson County (205) 802-2000

ALVARO ALEJANDRO ALDANA MD

Internal Medicine (Interventional Cardiology)

3686 GRANDVIEW PKWY, SUITE 720
BIRMINGHAM, AL 35243

Jefferson County (205) 971-7500

PULMONARY ASSOCIATES OF THE SOUTHEAST PC

Internal Medicine (Pulmonary Disease)

3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243

Jefferson County (205) 802-2000

DEREK E ROBINSON MD

Surgery

3686 GRANDVIEW PKWY, STE 810
BIRMINGHAM, AL 35243

Jefferson County (205) 971-2565

DR. ALLAN GOLDSTEIN MD

Internal Medicine (Pulmonary Disease)

3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243

Jefferson County (205) 802-2000

DR. KRISTY DURHAM HAWKINS PHARMD

Pharmacist

3686 GRANDVIEW PKWY
BIRMINGHAM, AL 35243

Jefferson County (205) 595-0419

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 Sandra Gilley's NPI number?

The NPI number for Sandra Gilley is 1235342718. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Sandra Gilley located?

Sandra Gilley practices at 3686 Grandview Pkwy Suite 500, Birmingham, AL 35243. The listed phone number is (205) 802-2000.

What is Sandra Gilley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sandra Gilley enrolled in Medicare?

Yes. Sandra Gilley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Gilley was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.