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ALAN ROY SHAIN MD
NPI 1316945306
Internal Medicine in Mobile, AL

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
101 MEMORIAL HOSPITAL DR, SUITE 200, MOBILE, AL 36608(251) 414-5900(251) 281-1162 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alan Roy Shain Md NPPES

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

ALAN ROY SHAIN MD (NPI 1316945306) is an individual internal medicine provider in Mobile, Alabama, licensed in Alabama (00010442) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1981).

NPPES Registry Identity

NPI1316945306
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALAN ROY SHAINCredential: MD
Location Address101 MEMORIAL HOSPITAL DR, SUITE 200Mobile, AL 36608-1786
Mailing Address101 Memorial Hospital Dr, Suite 200Mobile, AL 36608 · (251) 414-5900 · Fax (251) 281-1162
Phone(251) 414-5900
Fax(251) 281-1162
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1981
Enumeration DateJuly 13, 2005
Last NPPES UpdateSeptember 19, 2011
✔ NPI 1316945306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 00010442
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
101 MEMORIAL HOSPITAL DR, Mobile, AL 36608
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Other Identifiers 5

Medicare ID-Type Unspecified000009451AL
Other0410447AL · United Healthcare
Medicare UPINC74065AL
Medicaid000009451AL
Other051009451AL · Bcbs

Accepted Insurance

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

Alan Roy Shain 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 ID3779497789
PECOS Enrollment IDI20100715000457
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 3

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 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.
220 services99 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.
76 services58 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
47%613 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
47%479 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%1,210 patients4/55-star benchmark: 85%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
72%414 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
98%414 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%5,340 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%11,641 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
51%215 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%372 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%1,840 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
75%951 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%2,109 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
78%1,161 patients4/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 96% · 1,747 patients
Patients tobacco: 95% · 1,747 patients
85%309 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%1,840 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%1,840 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%1,840 patients
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers20 claims49 services$6.16 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
3 suppliers27 claims27 services$82.63 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 20

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

DR. DEEPAK KUMAR MD
Internal Medicine (Rheumatology)
101 MEMORIAL HOSPITAL DR, SUITE 200
MOBILE, AL 36608
Mobile County (251) 414-5900
DR. TIFFANY PINEDA LONG M.D.
Psychiatry & Neurology (Neurology)
101 MEMORIAL HOSPITAL DR, SUITE 200
MOBILE, AL 36608
Mobile County (251) 414-5900
DR. WILLIAM SHEPHERD FLEET MD
Psychiatry & Neurology (Neurology)
101 MEMORIAL HOSPITAL DR, BUILDING 3, SUITE 302
MOBILE, AL 36608
Mobile County (251) 661-9587
MOBILE UROLOGY GROUP, P.A.
Specialist
101 MEMORIAL HOSPITAL DR, SUITE 100
MOBILE, AL 36608
Mobile County (251) 343-9090
ALISON A HOLLAND NP
Nurse Practitioner
101 MEMORIAL HOSPITAL DR, SUITE 200
MOBILE, AL 36608
Mobile County (251) 414-5900
GULF GASTROENTEROLOGY PARTNERS, LLC
Clinic/Center
101 MEMORIAL HOSPITAL DR, STE 305
MOBILE, AL 36608
Mobile County (251) 380-7900
BRANDON YOKLEY FNP
Nurse Practitioner (Family)
101 MEMORIAL HOSPITAL DR
MOBILE, AL 36608
Mobile County (251) 414-5900
DR. WILLIAM TERRY STALLINGS M.D.
Specialist
101 MEMORIAL HOSPITAL DR, SUITE 100
MOBILE, AL 36608
Mobile County (251) 343-9090

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 Alan Shain's NPI number?

The NPI number for Alan Shain is 1316945306. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Alan Shain located?

Alan Shain practices at 101 Memorial Hospital Dr Suite 200, Mobile, AL 36608. The listed phone number is (251) 414-5900.

What is Alan Shain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alan Shain enrolled in Medicare?

Yes. Alan Shain 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 Alan Shain accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Alan Shain 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 Alan Shain was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.