MICHAEL J PASSARELLA MD
NPI 1396844197
Internal Medicine - Gastroenterology in Birmingham, AL

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
75.17/100
CMS Quality Rating
1 INDEPENDENCE PLAZA, SUITE 900, BIRMINGHAM, AL 35209(205) 271-8000(205) 271-8050 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Passarella Md NPPES

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

MICHAEL J PASSARELLA MD (NPI 1396844197) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (26409) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1396844197
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMICHAEL J PASSARELLACredential: MD
Location Address1 INDEPENDENCE PLAZA, SUITE 900Birmingham, AL 35209-2643
Mailing Address1 Independence Plaza, Suite 900Birmingham, AL 35209-2643 · (205) 271-8000 · Fax (205) 271-8050
Fax(205) 271-8050
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
NPI 1396844197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in AL · 26409
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 26409 (AL)
1 INDEPENDENCE PLAZA, Birmingham, AL 35209

Other Identifiers 10

Other051108907AL · Bcbs
Medicaid051558055AL
OtherP00386635AL · Railraod Medicare
Other051108906AL · Bcbs
Medicaid121773AL
Other051004346AL · Blue Cross Blue Shield Al
Medicaid121772AL
Other051108908AL · Bcbs
Medicaid121774AL
Medicaid08820089MS

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

Michael J Passarella 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 ID7911905591
PECOS Enrollment IDI20061114000447
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 15

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
789 services81 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
451 services81 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.
78 services61 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
68 services68 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
61 services12 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
50 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 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.

75.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.87
Promoting Interoperability93
Improvement Activities40
Cost54.19

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.

Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Nurse Anesthetist, Certified Registered
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Physician Assistant
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Nurse Anesthetist, Certified Registered
1 INDEPENDENCE PLAZA, STE 900
BIRMINGHAM, AL 35209
Nurse Practitioner
1 INDEPENDENCE PLAZA, STE 900
BIRMINGHAM, AL 35209
Internal Medicine (Gastroenterology)
1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209
Pharmacy (Community/Retail Pharmacy)
1 INDEPENDENCE PLAZA, SUITE 900A
HOMEWOOD, AL 35209

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 Michael Passarella's NPI number?

The NPI number for Michael Passarella is 1396844197. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Michael Passarella located?

Michael Passarella practices at 1 Independence Plaza Suite 900, Birmingham, AL 35209. The listed phone number is (205) 271-8000.

What is Michael Passarella's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Passarella enrolled in Medicare?

Yes. Michael Passarella 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 Michael Passarella 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 Michael Passarella 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 Michael Passarella was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.