WILLIAM HUNTER GARRETT
NPI 1285081463
Family Medicine - Sports Medicine in Birmingham, AL

Active since May 18, 2016PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205(205) 939-3699(205) 581-7155 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2019, May 18, 2016 (2 updates tracked since 2016).

About William Hunter Garrett NPPES

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

WILLIAM HUNTER GARRETT (NPI 1285081463) is an individual sports medicine provider in Birmingham, Alabama, licensed in Alabama (MD.38273) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285081463
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameWILLIAM HUNTER GARRETT
Location Address805 SAINT VINCENTS DR STE 100Birmingham, AL 35205-1638
Mailing Address805 Saint Vincents Dr Ste 100Birmingham, AL 35205-1638 · (205) 939-3699 · Fax (205) 581-7155
Fax(205) 581-7155
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2016
Enumeration DateMay 18, 2016
Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration
NPI 1285081463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in AL · MD.38273
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

805 SAINT VINCENTS DR STE 100, Birmingham, AL 35205

Secondary Practice Locations 2

Location 1960 East Third Street, Suite 100Chattanooga, TN 37403 · Phone (800) 947-7823 ext. 6956
Location 2833 Saint Vincents Dr Ste 205Birmingham, AL 35205-1609 · Phone (731) 217-1134

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

William Hunter Garrett 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 ID6204127913
PECOS Enrollment IDI20200826000303
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 18

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.
141 services112 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
128 services79 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
122 services105 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services83 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
84 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

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.

Orthopaedic Surgery (Sports Medicine)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Specialist/Technologist (Athletic Trainer)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Occupational Therapist
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Physical Medicine & Rehabilitation (Sports Medicine)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Physician Assistant
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205

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 William Garrett's NPI number?

The NPI number for William Garrett is 1285081463. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is William Garrett located?

William Garrett practices at 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205. The listed phone number is (205) 939-3699.

What is William Garrett's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is William Garrett enrolled in Medicare?

Yes. William Garrett 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 William Garrett accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list William Garrett 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 William Garrett affiliated with any hospitals?

According to CMS data, William Garrett is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for William Garrett was last updated on August 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.