ERIN M OZGUN M.D.
NPI 1285740456
Internal Medicine - Sleep Medicine in Birmingham, AL

Q: What is Erin Ozgun's NPI number?

The NPI number for Erin Ozgun is 1285740456. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Erin Ozgun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Q: When was this NPI record last updated?

The NPPES record for Erin Ozgun 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 August 21, 2006PECOS EnrolledAccepts Medicare Assignment

90.21/100

CMS Quality Rating

3686 GRANDVIEW PKWY, SUITE 500, BIRMINGHAM, AL 35243(205) 802-2000(205) 802-2049 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

On this page

About Erin M Ozgun M.d. NPPES

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

ERIN M OZGUN M.D. (NPI 1285740456) is an individual sleep medicine provider in Birmingham, Alabama, licensed in Alabama (16590) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1991).

NPPES Registry Identity

NPI1285740456

Entity TypeIndividualMale

Primary Taxonomy207RS0012X

Provider Legal NameERIN M OZGUNCredential: 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) 802-2049

Phone(205) 802-2000

Fax(205) 802-2049

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1991

Enumeration DateAugust 21, 2006

Last NPPES UpdateMarch 25, 20162 updates tracked since enumeration

✔ NPI 1285740456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in AL · 16590

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 16590 (AL)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 16590 (AL)

3686 GRANDVIEW PKWY, Birmingham, AL 35243

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF31396AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

Erin M Ozgun 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 ID7911970462

PECOS Enrollment IDI20070322000212

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 Reassignment

Medicare enrollment records show Erin Ozgun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pulmonary Associates Of The Southeast PC

Same address

Pulmonary Disease

3686 GRANDVIEW PKWY, SUITE 500
Birmingham, AL 35243

Reassigned Medicare billing, Alabama enrollment
19 clinicians in this Medicare group

NPI 1306867676 (205) 802-2000

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 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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

1,487 services382 patients

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.

510 services138 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

301 services206 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.

220 services149 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.

135 services122 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.

118 services46 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

110 services96 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

83 services77 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

76 services64 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

54 services48 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.

50 services45 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

47 services45 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

44 services44 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

37 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

29 services29 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services14 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.

15 services14 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.

90.21/100

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

Individually scored

Quality

83.03

Promoting Interoperability

100

Improvement Activities

Cost

67.67

Reported Quality Measures

Advance Care Plan

57%1,155 patients3/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

14%72 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

12%796 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

81%210 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

0%90 patients1/55-star benchmark: 100%

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

Lower rates are better for this measure.

91%90 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

74%2,078 patients3/55-star benchmark: 100%

e-Prescribing

97%650 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%612 patients1/55-star benchmark: 100%

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

15%1,208 patients1/55-star benchmark: 98%

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

34%1,094 patients3/55-star benchmark: 61%

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

Patients combinedPopulations: 89% · 698 patients

Patients screened: 93% · 698 patients

50%56 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

91%648 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%219 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 637 patients

Patients totalRate: 2% · 642 patients

2%642 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 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

10 suppliers74 claims74 services$33.25 avg. paid by Medicare

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

DME-Other DME · category DE000N

2 suppliers35 claims70 services$1.48 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

1 supplier27 claims54 services$1.05 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

1 supplier12 claims12 services$1.20 avg. paid by Medicare

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

DME-Other DME · category DE001N

19 suppliers132 claims132 services$78.95 avg. paid by Medicare

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

DME-Other DME · category DE001N

16 suppliers126 claims330 services$30.25 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

16 suppliers65 claims305 services$17.11 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

12 suppliers54 claims306 services$14.37 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

21 suppliers124 claims124 services$51.35 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

23 suppliers159 claims159 services$15.74 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

6 suppliers12 claims12 services$7.53 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

23 suppliers167 claims167 services$12.13 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

21 suppliers229 claims1,189 services$1.84 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

16 suppliers77 claims77 services$5.42 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers80 claims80 services$11.52 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

6 suppliers27 claims28 services$14.94 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC000N

3 suppliers24 claims24 services$30.21 avg. paid by Medicare

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

DME-Other DME · category DE005N

3 suppliers17 claims17 services$774.14 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

10 suppliers93 claims93 services$77.51 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

19 suppliers55 claims55 services$125.24 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers23 claims23 services$5.81 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

18 suppliers344 claims356 services$33.80 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

10 suppliers164 claims166 services$75.05 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers92 claims92 services$32.02 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

6 suppliers44 claims8,967 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

1 supplier15 claims1,320 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

2 suppliers13 claims600 services$0.72 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

1 supplier29 claims29 services$32.19 avg. paid by Medicare

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

DME-Other DME · category DE000N

6 suppliers55 claims55 services$24.09 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

SANDRA KAYE GILLEY M.D.

Internal Medicine (Pulmonary Disease)

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 Erin Ozgun's NPI number?

The NPI number for Erin Ozgun is 1285740456. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Erin Ozgun located?

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

What is Erin Ozgun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Erin Ozgun enrolled in Medicare?

Yes. Erin Ozgun 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 organization bills Medicare for Erin Ozgun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Ozgun reassigns Medicare benefits to Pulmonary Associates Of The Southeast PC (Birmingham, AL). The 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 Erin Ozgun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Ozgun accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Erin Ozgun 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 Erin Ozgun 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.