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CATHERINE P. SCARBROUGH MD
NPI 1396802351
Family Medicine in Gadsden, AL

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1026 GOODYEAR AVE STE 100, GADSDEN, AL 35903(256) 492-8256(564) 928-2712 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2021, Aug 9, 2017, Sep 22, 2016 (3 updates tracked since 2016).

About Catherine P. Scarbrough Md NPPES

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

CATHERINE P. SCARBROUGH MD (NPI 1396802351) is an individual family medicine provider in Gadsden, Alabama, licensed in Alabama (28973) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2005).

NPPES Registry Identity

NPI1396802351
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE P. SCARBROUGHCredential: MD
Location Address1026 GOODYEAR AVE STE 100Gadsden, AL 35903-1194
Mailing Address850 Peter Bryce Blvd, Suite 201Tuscaloosa, AL 35401-7419 · (205) 348-1770 · Fax (205) 348-6561
Phone(256) 492-8256
Fax(564) 928-2712
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2005
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJanuary 27, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1396802351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AL · 28973✔ Licensed in OK · 24664
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1026 GOODYEAR AVE STE 100, Gadsden, AL 35903
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Other Identifiers 2

Medicaid1396802351AL
Other28973AL · Medical License

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

Catherine P. Scarbrough 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 ID4183720790
PECOS Enrollment IDI20101102000849
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 11

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.

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.
108 services83 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.
65 services20 patients
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.
44 services22 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.
27 services25 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.
26 services26 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35903 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.61 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 suppliers11 claims13 services$99.09 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. GRACE C OKORO MD
Student in an Organized Health Care Education/Training Program
1026 GOODYEAR AVE STE 100
GADSDEN, AL 35903
Etowah County (256) 413-6257
DR. DAVIES TOLUHI MD, MPH
Student in an Organized Health Care Education/Training Program
1026 GOODYEAR AVE STE 100
GADSDEN, AL 35903
Etowah County (256) 413-6257
DR. DALE ALAN WHITAKER JR. MD
Student in an Organized Health Care Education/Training Program
1026 GOODYEAR AVE STE 100
GADSDEN, AL 35903
Etowah County (256) 413-6257
ITORO OBOT
Student in an Organized Health Care Education/Training Program
1026 GOODYEAR AVE STE 100
GADSDEN, AL 35903
Etowah County (256) 413-6240
DR. BRADLEY STEPHEN GREEN M.D.
Family Medicine
1026 GOODYEAR AVE STE 100
GADSDEN, AL 35903
Etowah County (256) 492-8256
DR. JESSICA FAITH PATTON MD, MBA, MPH, DHAC
Student in an Organized Health Care Education/Training Program
1026 GOODYEAR AVE STE 100
GADSDEN, AL 35903
Etowah County (256) 413-6240
GABRIELLE UNBEHAUN MD
Student in an Organized Health Care Education/Training Program
1026 GOODYEAR AVE STE 100
GADSDEN, AL 35903
Etowah County (256) 413-6240
DR. JASON PAUL HERMOSILLA
Student in an Organized Health Care Education/Training Program
1026 GOODYEAR AVE STE 100
GADSDEN, AL 35903
Etowah County (256) 413-6257

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 Catherine Scarbrough's NPI number?

The NPI number for Catherine Scarbrough is 1396802351. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Catherine Scarbrough located?

Catherine Scarbrough practices at 1026 Goodyear Ave Ste 100, Gadsden, AL 35903. The listed phone number is (256) 492-8256.

What is Catherine Scarbrough's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Catherine Scarbrough enrolled in Medicare?

Yes. Catherine Scarbrough 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 Catherine Scarbrough accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Catherine Scarbrough 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 Catherine Scarbrough was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.