DR. JAMES GILLESPIE M.B.B.S.
NPI 1376078808
Pain Medicine - Interventional Pain Medicine in Birmingham, AL

Active since April 21, 2017PECOS Enrolled
78.77/100
CMS Quality Rating
1020 26TH ST S # 100, BIRMINGHAM, AL 35205(205) 332-3155 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2022, Apr 21, 2017 (2 updates tracked since 2017).

About Dr. James Gillespie M.b.b.s. NPPES

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

DR. JAMES GILLESPIE M.B.B.S. (NPI 1376078808) is an individual interventional pain medicine provider in Birmingham, Alabama, licensed in Alabama (44543) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376078808
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. JAMES GILLESPIECredential: M.B.B.S.
Location Address1020 26TH ST S # 100Birmingham, AL 35205-2412
Mailing Address1920 Queen Anne Ave N, Apartment 542Seattle, WA 98109-2513 · (858) 226-4844
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 21, 2017
Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
NPI 1376078808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in AL · 44543
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1020 26TH ST S # 100, Birmingham, AL 35205

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 (PECOS)

Dr. James Gillespie M.b.b.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840564217
PECOS Enrollment IDI20220914001154
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 13

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
709 services137 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.
457 services213 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
374 services63 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
370 services64 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.
303 services167 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
248 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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.

78.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality52.97
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%962 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%682 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
20%79 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
0%105 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%105 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%5,393 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,000 patients1/55-star benchmark: 100%
HIV Screening
0%1,346 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
13%2,261 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,150 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%5,361 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 2,140 patients
0%2,140 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%119 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,088 patients
Patients totalRate: 16% · 1,088 patients
16%1,088 patients3/55-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

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

Nurse Practitioner (Family)
1020 26TH ST S # 100
BIRMINGHAM, AL 35205

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 James Gillespie's NPI number?

The NPI number for James Gillespie is 1376078808. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is James Gillespie located?

James Gillespie practices at 1020 26th St S # 100, Birmingham, AL 35205. The listed phone number is (205) 332-3155.

What is James Gillespie's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is James Gillespie enrolled in Medicare?

Yes. James Gillespie is registered in the Medicare PECOS enrollment system.

What insurance does James Gillespie accept?

Health plans from Blue Cross and Blue Shield of Alabama list James Gillespie 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 James Gillespie was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.