JOHN COTTON SHALLCROSS MD
NPI 1417937731
Internal Medicine - Gastroenterology in Birmingham, AL

Q: What is John Shallcross's NPI number?

The NPI number for John Shallcross is 1417937731. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is John Shallcross's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Shallcross was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment

75.17/100

CMS Quality Rating

1 INDEPENDENCE PLZ, STE 900, BIRMINGHAM, AL 35209(205) 271-8000(205) 879-0548 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About John Cotton Shallcross Md NPPES

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

JOHN COTTON SHALLCROSS MD (NPI 1417937731) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (16932) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Touro Infirmary, and is a graduate of University Of Louisville School Of Medicine (1985).

NPPES Registry Identity

NPI1417937731

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJOHN COTTON SHALLCROSSCredential: MD

Location Address1 INDEPENDENCE PLZ, STE 900Birmingham, AL 35209-2629

Mailing Address1 Independence Plz, Ste 900Birmingham, AL 35209-2629 · (205) 271-8000 · Fax (205) 879-0548

Phone(205) 271-8000

Fax(205) 879-0548

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1985

Enumeration DateJanuary 20, 2006

Last NPPES UpdateAugust 5, 2010

✔ NPI 1417937731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AL · 16932

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.

1 INDEPENDENCE PLZ, Birmingham, AL 35209

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Other Identifiers 3

Medicare UPINE69065

Medicare ID-Type Unspecified87834AL

Medicaid528400180AL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Cotton Shallcross 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 ID8628016136

PECOS Enrollment IDI20050425000192, I20260121003265

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 12

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.

424 services48 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.

237 services48 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.

50 services14 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.

45 services13 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.

44 services40 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

34 services34 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

25 services25 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.

18 services16 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.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Touro Infirmary

Acute Care Hospitals · New Orleans, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190046

Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County

Emergency services Birthing friendly

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

Quality

68.87

Promoting Interoperability

Improvement Activities

Cost

54.19

Reported Quality Measures

Photodocumentation of Cecal Intubation

The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination

5%264 patients

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 20

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

MS. KAY PARKER-PHILLIPS MSN, CRNP

Nurse Practitioner

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

STEVIE BYRAM STEWART PA

Physician Assistant

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

DR. RAJAT N PARIKH M.D.

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

DR. RISHI KUMAR AGARWAL M.D.

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

WESTFALL PSYCHIATRIC SERVICES PC

Psychiatry & Neurology (Psychiatry)

1 INDEPENDENCE PLZ, SUITE 325
HOMEWOOD, AL 35209

Jefferson County (205) 623-2171

NORWOOD CLINIC, INC

Durable Medical Equipment & Medical Supplies

1 INDEPENDENCE PLZ, SUITE 700
BIRMINGHAM, AL 35209

Jefferson County (205) 250-6000

DR. LARRY HOUSTON DENNIS PH.D.

Psychologist (Clinical)

1 INDEPENDENCE PLZ, SUITE 716
HOMEWOOD, AL 35209

Jefferson County (205) 871-0031

WILLARD ROGER CARLISLE MD

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLZ, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

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 John Shallcross's NPI number?

The NPI number for John Shallcross is 1417937731. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is John Shallcross located?

John Shallcross practices at 1 Independence Plz Ste 900, Birmingham, AL 35209. The listed phone number is (205) 271-8000.

What is John Shallcross's specialty?

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

Is John Shallcross enrolled in Medicare?

Yes. John Shallcross 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 John Shallcross accept?

Health plans from Blue Cross and Blue Shield of Alabama list John Shallcross 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.

Is John Shallcross affiliated with any hospitals?

According to CMS data, John Shallcross is affiliated with Touro Infirmary.

When was this NPI record last updated?

The NPPES record for John Shallcross was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.