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DR. RICHARD WILSON SHAMBLIN M.D.
NPI 1356450183
Internal Medicine in Tuscaloosa, AL

Active since August 29, 2006PECOS Enrolled
100 RICE MINE RD N, SUITE B, TUSCALOOSA, AL 35406(205) 349-4200(205) 349-4285 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard Wilson Shamblin M.d. NPPES

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

DR. RICHARD WILSON SHAMBLIN M.D. (NPI 1356450183) is an individual internal medicine provider in Tuscaloosa, Alabama, licensed in Alabama (11910) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356450183
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD WILSON SHAMBLINCredential: M.D.
Location Address100 RICE MINE RD N, SUITE BTuscaloosa, AL 35406-2300
Mailing Address100 Rice Mine Rd N, Suite BTuscaloosa, AL 35406-2300 · (205) 349-4200 · Fax (205) 349-4285
Phone(205) 349-4200
Fax(205) 349-4285
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateDecember 16, 2010
✔ NPI 1356450183 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 · 11910
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.

100 RICE MINE RD N, Tuscaloosa, AL 35406
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Other Identifiers 4

Medicare UPINC74067AL
Other51014598AL · Blue Cross Provider Number
Medicaid528502230AL
Medicare PIN14598AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Wilson Shamblin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35406 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
70%312 patients4/55-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)…
70%181 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
53%605 patients3/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
86%637 patients5/55-star benchmark: 85%
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.
97%3,427 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.
93%9,223 patients4/55-star benchmark: 100%
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…
0%1,011 patients1/55-star benchmark: 98%
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.
92%51 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.
91%1,153 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
95%549 patients5/55-star benchmark: 90%
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
72%706 patients4/55-star benchmark: 88%
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…
51%1,153 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…
0%1,153 patients1/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
88%366 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 549 patients
3%549 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.

Other Providers at the Same Location NPPES 16

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

DR. JENNIFER TALBERT DICKSON D.M.D.
Dentist (General Practice)
100 RICE MINE RD N, SUITE D
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 248-9077
DR. JAMES BRIAN WILHITE M.D.
Internal Medicine
100 RICE MINE RD N, SUITE B
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 349-4200
BIOGASTREX, LLC
Internal Medicine (Gastroenterology)
100 RICE MINE RD N, SUITE E
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 345-0010
ANESTHESIA SERVICES OF ALABAMA INC
Anesthesiology
100 RICE MINE RD N, STE E
TUSCALOOSA, AL 35406
Tuscaloosa County (800) 204-0099
DR. REGINALD ZANE MOTLEY D.O.
Internal Medicine
100 RICE MINE RD N, SUITE B
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 439-4200
MRS. TRACY CHRISTIAN GRISSETT NURSE PRACTITIONER
Nurse Practitioner (Family)
100 RICE MINE RD N, SUITE B
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 349-4200
KEITH E JACKSON CRNA
Nurse Anesthetist, Certified Registered
100 RICE MINE RD N
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 354-0010
GOPAL K KAZA MD
Internal Medicine (Gastroenterology)
100 RICE MINE RD N, SUITE E
TUSCALOOSA, AL 35406
Tuscaloosa County (205) 345-0010

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 Richard Shamblin's NPI number?

The NPI number for Richard Shamblin is 1356450183. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Richard Shamblin located?

Richard Shamblin practices at 100 Rice Mine Rd N Suite B, Tuscaloosa, AL 35406. The listed phone number is (205) 349-4200.

What is Richard Shamblin's specialty?

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

Is Richard Shamblin enrolled in Medicare?

Yes. Richard Shamblin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Shamblin was last updated on December 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.