DR. MOHAMED MAGDY M.D
NPI 1255697868
Internal Medicine - Gastroenterology in Birmingham, AL

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
88.2/100
CMS Quality Rating
2000 6TH AVE S, BIRMINGHAM, AL 35233(205) 934-9999 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Jun 12, 2024, Jun 1, 2021 and 4 more (7 updates tracked since 2018).

About Dr. Mohamed Magdy M.d NPPES

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

DR. MOHAMED MAGDY M.D (NPI 1255697868) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (38294) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255697868
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MOHAMED MAGDYCredential: M.D
Location Address2000 6TH AVE SBirmingham, AL 35233
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 9, 2012
Last NPPES UpdateAugust 21, 20247 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1255697868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in AL · 38294 Licensed in MO · 2024031795 Licensed in CO · DR.0065947 Licensed in GA · 79312
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2000 6TH AVE S, Birmingham, AL 35233

Secondary Practice Locations 6

Location 11010 Three Springs Blvd Ste 270Durango, CO 81301-8296 · Phone (970) 764-3800 · Fax (970) 764-3840
Location 2828 Woodgate Ln NWRochester, MN 55901-2473 · Phone (404) 944-8163
Location 32100 Stantonsburg Rdgreenville, NC 27834-2783 · Phone (252) 847-4268
Location 42030 Mountain View AveLongmont, CO 80501-3178 · Phone (720) 652-8400 · Fax (720) 652-8655
Location 51365 Clifton Rd NEAtlanta, GA 30322 · Phone (404) 944-8163
Location 6101 S Fairview RdColumbia, MO 65203-7637 · Phone (573) 884-7600 · Fax (573) 884-8200

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

Dr. Mohamed Magdy M.d 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 ID9032357322
PECOS Enrollment IDI20210503000302
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 11

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
163 services162 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
122 services120 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
105 services103 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
38 services36 patients
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.
25 services23 patients
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255
This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.
21 services19 patients

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
$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.

88.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.61
Promoting Interoperability100
Improvement Activities40
Cost71.07

Reported Quality Measures

Advance Care Plan
47%194 patients2/55-star benchmark: 100%
Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%2,238 patients
Breast Cancer Screening
29%85 patients2/55-star benchmark: 93%
Cervical Cancer Screening
40%94 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
41%37 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
73%218 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
73%59 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%24 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
46%24 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
22%594 patients1/55-star benchmark: 100%
e-Prescribing
99%645 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
21%175 patients1/55-star benchmark: 100%
Functional Status After Primary Total Knee Replacement
0%47 patients
HIV Screening
17%236 patients2/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
27%59 patients2/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%132 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
19%349 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%135 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 36% · 346 patients
35%346 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 42% · 60 patients
40%60 patients
Provide Patients Electronic Access to Their Health Information
86%162 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
27%48 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%59 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 166 patients
Patients totalRate: 6% · 170 patients
6%170 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.

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.

Pharmacy (Specialty Pharmacy)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Pharmacist (Ambulatory Care)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Adult Health)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
2000 6TH AVE S, INTERVENTIONAL CARDIOLOGY/ STRUCTURAL HEART CLINIC
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 Mohamed Magdy's NPI number?

The NPI number for Mohamed Magdy is 1255697868. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Mohamed Magdy located?

Mohamed Magdy practices at 2000 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-9999.

What is Mohamed Magdy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mohamed Magdy enrolled in Medicare?

Yes. Mohamed Magdy 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 Mohamed Magdy accept?

Health plans from UnitedHealthcare list Mohamed Magdy 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 Mohamed Magdy was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.