CARRIE E ROTHERMEL MD
NPI 1528454758
Internal Medicine - Gastroenterology in Birmingham, AL

Q: What is Carrie Rothermel's NPI number?

The NPI number for Carrie Rothermel is 1528454758. It was assigned to this individual provider in the NPPES registry on April 14, 2015. The provider is also known as Carrie Hamilton MD.

Q: What is Carrie Rothermel'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 Carrie Rothermel was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 April 14, 2015PECOS 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: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2025, Dec 11, 2018 (2 updates tracked since 2018).

On this page

About Carrie E Rothermel Md NPPES

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

CARRIE E ROTHERMEL MD (NPI 1528454758) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (MD.38228) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2015).

NPPES Registry Identity

NPI1528454758

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameCARRIE E ROTHERMELCredential: MD

Location Address1 INDEPENDENCE PLAZA, SUITE 900Birmingham, AL 35209-2643

Mailing Address1 Independence Plz Ste 900Birmingham, AL 35209-2643 · (205) 271-8000 · Fax (205) 271-8050

Phone(205) 271-8000

Fax(205) 271-8050

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2015

Enumeration DateApril 14, 2015

Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1528454758 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 · MD.38228

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 PLAZA, Birmingham, AL 35209

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Other Names 1

Former Name (1)Carrie Hamilton Md

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

Carrie E Rothermel 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 ID7618284167

PECOS Enrollment IDI20220606001578

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.

534 services44 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.

308 services45 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.

113 services85 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.

77 services75 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.

63 services53 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.

46 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

44 services44 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.

24 services24 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.

18 services18 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.

16 services16 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

15 services14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 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

Quality

68.87

Promoting Interoperability

Improvement Activities

Cost

54.19

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.

MR. DAVID JON LANDY MD

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

CYNTHIA P MALDONADO CRNA

Nurse Anesthetist, Certified Registered

1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

RACHAEL LAUREN ABROMS PA

Physician Assistant

1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

DOUGLAS SCOTT DICKINSON MD

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

MR. JOHN T ANDERSON CRNA

Nurse Anesthetist, Certified Registered

1 INDEPENDENCE PLAZA, STE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

MRS. DANIELLE M LINGO CRNP

Nurse Practitioner

1 INDEPENDENCE PLAZA, STE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

BIRMINGHAM GASTROENTEROLOGY ASSOCIATES PC

Internal Medicine (Gastroenterology)

1 INDEPENDENCE PLAZA, SUITE 900
BIRMINGHAM, AL 35209

Jefferson County (205) 271-8000

BGA PHARMACIES, LLC

Pharmacy (Community/Retail Pharmacy)

1 INDEPENDENCE PLAZA, SUITE 900A
HOMEWOOD, AL 35209

Jefferson County (205) 259-5460

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 Carrie Rothermel's NPI number?

The NPI number for Carrie Rothermel is 1528454758. It was assigned to this individual provider in the NPPES registry on April 14, 2015. The provider is also known as Carrie Hamilton MD.

Where is Carrie Rothermel located?

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

What is Carrie Rothermel's specialty?

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

Is Carrie Rothermel enrolled in Medicare?

Yes. Carrie Rothermel 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 Carrie Rothermel 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 Carrie Rothermel 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 Carrie Rothermel was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.