JOHN FORSTALL DO
NPI 1326571720
Internal Medicine - Pulmonary Disease in Birmingham, AL

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
76.78/100
CMS Quality Rating
817 PRINCETON AVE SW STE 199, BIRMINGHAM, AL 35211(205) 780-1920(205) 780-2345 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 4, 2026, Jul 24, 2026, Jul 25, 2023 and 1 more (4 updates tracked since 2023).

About John Forstall Do NPPES

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

JOHN FORSTALL DO (NPI 1326571720) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in Alabama (DO.4771) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326571720
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOHN FORSTALLCredential: DO
Location Address817 PRINCETON AVE SW STE 199Birmingham, AL 35211-1350
Mailing Address3500 Blue Lake Dr Ste 495Vestavia, AL 35243-1975 · (800) 257-6570 · Fax (205) 264-2053
Fax(205) 780-2345
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateAugust 4, 20264 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1326571720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in AL · DO.4771✔ Licensed in TN · DO5216
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License DO5216 (TN)
817 PRINCETON AVE SW STE 199, Birmingham, AL 35211

Secondary Practice Locations 2

Location 11222 Trotwood Ave Ste 503Columbia, TN 38401-6422 · Phone (931) 490-7775 · Fax (931) 490-7797
Location 22018 Brookwood Medical Ctr Dr Ste 215Birmingham, AL 35209-6870 · Phone (205) 780-1920 · Fax (205) 271-6602

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

John Forstall Do 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 ID5294009015
PECOS Enrollment IDI20230927002179
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 5

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.
87 services52 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.
60 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services15 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Marshall Medical Center

Critical Access Hospitals · Lewisburg, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441309
Location1080 North Ellington ParkwayLewisburg, TN 37091 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35211 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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Pulmonary Disease)
817 PRINCETON AVE SW STE 199
BIRMINGHAM, AL 35211
Nurse Practitioner (Acute Care)
817 PRINCETON AVE SW STE 199
BIRMINGHAM, AL 35211
Nurse Practitioner
817 PRINCETON AVE SW STE 199
BIRMINGHAM, AL 35211
Internal Medicine (Pulmonary Disease)
817 PRINCETON AVE SW STE 199
BIRMINGHAM, AL 35211
Nurse Practitioner (Acute Care)
817 PRINCETON AVE SW STE 199
BIRMINGHAM, AL 35211
Nurse Practitioner (Acute Care)
817 PRINCETON AVE SW STE 199
BIRMINGHAM, AL 35211
Internal Medicine (Sleep Medicine)
817 PRINCETON AVE SW STE 199
BIRMINGHAM, AL 35211

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 John Forstall's NPI number?

The NPI number for John Forstall is 1326571720. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is John Forstall located?

John Forstall practices at 817 Princeton Ave SW Ste 199, Birmingham, AL 35211. The listed phone number is (205) 780-1920.

What is John Forstall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Forstall enrolled in Medicare?

Yes. John Forstall 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 John Forstall accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list John Forstall 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 John Forstall affiliated with any hospitals?

According to CMS data, John Forstall is affiliated with Maury Regional Hospital and Marshall Medical Center.

When was this NPI record last updated?

The NPPES record for John Forstall was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.