DR. A LYNN RIDGEWAY MD NPI 1326013558

Specialist in Sheffield, AL

NPI 1326013558 Individual Male Years of Experience 30 Specialist PECOS Enrolled Accepts Medicare Approved Payment

About A RIDGEWAY

A Ridgeway is a provider established in Sheffield, Alabama and his medical specialization is specialist with more than 30 years of experience. He graduated from Vanderbilt University School Of Medicine in 1992. The NPI number of A Ridgeway is 1326013558 and was assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number 17451 (AL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

A Ridgeway is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

A Ridgeway is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Helen Keller Hospital and North Alabama Medical Center.

NPI

1326013558

Provider NameDR. A LYNN RIDGEWAY MD
Provider Location Address342 COX BLVD SHEFFIELD, AL 35660
Provider Mailing AddressPO BOX 2587 MUSCLE SHOALS, AL 35662
GenderMale
NPI Entity TypeIndividual
Medical School NameVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1992
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-21-2006
Last Update Date06-19-2012


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.17451
License StateAL
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

DR. A LYNN RIDGEWAY MD
342 COX BLVD
SHEFFIELD, AL
ZIP 35660
Phone: (256) 383-4473
Fax: (256) 381-5232

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Mailing Address

DR. A LYNN RIDGEWAY MD
PO BOX 2587
MUSCLE SHOALS, AL
ZIP 35662
Phone: (256) 383-4473
Fax: (256) 381-5232



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7911085501
PECOS Enrollment IDI20080423000017
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 945X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 723Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 715Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 670Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 252Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 233Measurement of lung diffusing capacity (HCPCS:94729)
  • 193Hemoglobin A1C level (HCPCS:83036)
  • 174Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • 125Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)
  • 96Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • 86Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • 62Automated urinalysis test (HCPCS:81003)
  • 44Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 34Administration of influenza virus vaccine (HCPCS:G0008)
  • 19Administration of pneumococcal vaccine (HCPCS:G0009)
  • 18X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 13Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 12Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 11Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. A Ridgeway is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HELEN KELLER HOSPITAL1300 SOUTH MONTGOMERY AVENUE
SHEFFIELD, AL 35660
(256) 386-4556Acute Care Hospitals10019
NORTH ALABAMA MEDICAL CENTER1701 VETERANS DRIVE
FLORENCE, AL 35630
(256) 768-8400Acute Care Hospitals10006

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F68311MEDICARE UPIN (02)AL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639237340A LYNN RIDGEWAY MD PC
Organization
Specialist342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1447332119 MARK LOCKE HODGES CRNP
Individual
Nurse Practitioner (Adult Health)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1922355312 JONATHAN SCOGIN CRNP
Individual
Nurse Practitioner (Acute Care)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1265428031DR. AARON W KARR D.O.
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1730128414DR. FRANCIS G GILLIS M.D.
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1942549860 MATTHEW ALEXANDER MONTGOMERY CRNP
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1629059175 GREGG DELGADO D.O.
Individual
Radiology (Diagnostic Radiology)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1245276070 DARIN KIM BOWLING DO
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1952734162 MELODY LEIGH SMITH CRNP
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1871530766 ALAN L BILLSBY DO
Individual
Surgery342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1578981353 RACHEL ANN MILLER CRNP
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1124073788DR. GEORGE A EVANS M.D.
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1396765095DR. PAUL MORRIS D.O.
Individual
Internal Medicine (Cardiovascular Disease)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1801213301MRS. KRISTINE ELIZABETH MOLLOHAN NP-C
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1285732016 BRAD M GINEVAN MD
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1942245808 PAOLA F TUMMINELLO MD
Individual
Psychiatry & Neurology (Neurology)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1033500517 ABBEY COOPER CRNP
Individual
Nurse Practitioner342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1932651478 MISTY MAXWELL CRNP
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1275061806 BAYLEE SMITH CORSBIE CRNP
Individual
Nurse Practitioner (Adult Health)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1619364791 KELLI ROBERSON NP-C
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.