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BENJAMIN L GAYLE SR. MD
NPI 1407885254
Internal Medicine in Mobile, AL

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
1159 SPRING HILL AVE, MOBILE, AL 36604(251) 432-4188(251) 432-4199 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Benjamin L Gayle Sr. Md NPPES

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

BENJAMIN L GAYLE SR. MD (NPI 1407885254) is an individual internal medicine provider in Mobile, Alabama, licensed in Alabama (MD.24746) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (1998).

NPPES Registry Identity

NPI1407885254
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBENJAMIN L GAYLE SR.Credential: MD
Location Address1159 SPRING HILL AVEMobile, AL 36604-2725
Mailing Address1159 Spring Hill AveMobile, AL 36604-2725 · (251) 432-4188 · Fax (251) 432-4199
Phone(251) 432-4188
Fax(251) 432-4199
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 1998
Enumeration DateJuly 2, 2006
Last NPPES UpdateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1407885254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.24746
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.
Also ListedHospitalistTaxonomy 208M00000X · License MD.24746 (AL)
1159 SPRING HILL AVE, Mobile, AL 36604
Open in Google Maps ↗

Other Identifiers 14

Medicaid009939331AL
Medicaid009935929AL
Other515-34310AL · Bcbs
Other515-34309AL · Bcbs
Medicaid009939329AL
Medicaid009935419AL
Other515-40044AL · Bcbs
Medicaid009935931AL
Other1407885254AL · Tricare South
Other515-32773AL · Bcbs
Medicaid009936126AL
Other510-04406AL · Bcbs
Other515-34311AL · Bcbs
Other515-97420AL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin L Gayle Sr. 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 ID7719991645
PECOS Enrollment IDI20060131000501, I20120125000936
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Benjamin Gayle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sage Health Alabama LLC
0.9 mi
Primary Care
1500 GOVERNMENT ST STE A
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 13 clinicians in this Medicare group
NPI 1063123602 (251) 800-9294
Hands Of Hope Health Care Center
5.4 mi
Multi-Specialty
4625 MOFFETT RD.
Mobile, AL 36618
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1487923520 (251) 287-6146
Homedica Of Louisiana, LLC
183 mi
Case Manager/Care Coordinator
8923 BLUEBONNET BLVD
Baton Rouge, LA 70810
  • Reassigned Medicare billing, Alabama enrollment
NPI 1174866479 (225) 766-4133

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
82 services38 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
52 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36604 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
50%145 patients3/55-star benchmark: 93%
Cervical Cancer Screening
7%189 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
19%370 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
66%358 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%161 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%161 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,745 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%138 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%528 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%414 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%393 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 470 patients
0%470 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%324 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 159 patients
Patients totalRate: 30% · 162 patients
28%162 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$783.27 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.19 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$26.11 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 3

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

MS. TRACY JEVON NELSON FNP
Nurse Practitioner (Family)
1159 SPRING HILL AVE
MOBILE, AL 36604
Mobile County (251) 554-1121
SMITH & GAYLE MEDICAL CENTER, LLC
Clinic/Center (Primary Care)
1159 SPRING HILL AVE
MOBILE, AL 36604
Mobile County (251) 432-4188
DR. YOLANDA FAYE TURNER PH.D, NP-C
Nurse Practitioner
1159 SPRING HILL AVE
MOBILE, AL 36604
Mobile County (251) 432-4188

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 Benjamin Gayle's NPI number?

The NPI number for Benjamin Gayle is 1407885254. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Benjamin Gayle located?

Benjamin Gayle practices at 1159 Spring Hill Ave, Mobile, AL 36604. The listed phone number is (251) 432-4188.

What is Benjamin Gayle's specialty?

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

Is Benjamin Gayle enrolled in Medicare?

Yes. Benjamin Gayle 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.

Which organizations bill Medicare for Benjamin Gayle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Gayle reassigns Medicare benefits to 3 organizations: Sage Health Alabama LLC (Mobile, AL), Hands Of Hope Health Care Center (Mobile, AL) and Homedica Of Louisiana, LLC (Baton Rouge, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Gayle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Gayle accept?

Health plans from Blue Cross and Blue Shield of Alabama list Benjamin Gayle 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 Benjamin Gayle was last updated on December 19, 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.