DR. RUSSELL BEATY MD
NPI 1538188586
Internal Medicine - Pulmonary Disease in Birmingham, AL

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
85.65/100
CMS Quality Rating
3686 GRANDVIEW PKWY, SUITE 500, BIRMINGHAM, AL 35243(205) 802-2000(205) 802-2012 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2016, Feb 29, 2016 (2 updates tracked since 2016).

About Dr. Russell Beaty Md NPPES

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

DR. RUSSELL BEATY MD (NPI 1538188586) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in Alabama (14075) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1987).

NPPES Registry Identity

NPI1538188586
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RUSSELL BEATYCredential: MD
Location Address3686 GRANDVIEW PKWY, SUITE 500Birmingham, AL 35243-3407
Mailing Address3686 Grandview Pkwy, Suite 500Birmingham, AL 35243-3407 · (205) 802-2000 · Fax (205) 802-2012
Fax(205) 802-2012
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1987
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 25, 20162 updates tracked since enumeration
NPI 1538188586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AL · 14075
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3686 GRANDVIEW PKWY, Birmingham, AL 35243

Other Identifiers 2

Medicare ID-Type Unspecified000089414AL
Medicare UPINC73034AL

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

Dr. Russell Beaty 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 ID5092850040
PECOS Enrollment IDI20100303000007
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 26

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, 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.
2,122 services450 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.
664 services153 patients
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.
415 services266 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.
403 services136 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.
215 services188 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
205 services186 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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.

85.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.62
Promoting Interoperability100
Improvement Activities40
Cost61.45

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
78%23 patients1/55-star benchmark: 100%
Advance Care Plan
42%1,382 patients2/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
35%351 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
19%1,029 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
86%569 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%232 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
75%232 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%2,685 patients3/55-star benchmark: 100%
e-Prescribing
98%4,231 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%1,607 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%1,292 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 31% · 1,044 patients
Patients screened: 32% · 1,044 patients
44%27 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%811 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%526 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 907 patients
Patients totalRate: 5% · 941 patients
6%941 patients4/55-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 25

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier12 claims24 services$18.19 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers30 claims93 services$6.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims27 services$1.23 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers65 claims125 services$1.38 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
2 suppliers45 claims90 services$0.96 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
7 suppliers14 claims14 services$15.33 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 18

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

Internal Medicine (Hematology & Oncology)
3686 GRANDVIEW PKWY, SUITE 510
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3686 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
Internal Medicine (Pulmonary Disease)
3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243
Internal Medicine (Sleep Medicine)
3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243
Internal Medicine (Interventional Cardiology)
3686 GRANDVIEW PKWY, SUITE 720
BIRMINGHAM, AL 35243
Internal Medicine (Pulmonary Disease)
3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243
Surgery
3686 GRANDVIEW PKWY, STE 810
BIRMINGHAM, AL 35243
Internal Medicine (Pulmonary Disease)
3686 GRANDVIEW PKWY, SUITE 500
BIRMINGHAM, AL 35243

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 Russell Beaty's NPI number?

The NPI number for Russell Beaty is 1538188586. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Russell Beaty located?

Russell Beaty practices at 3686 Grandview Pkwy Suite 500, Birmingham, AL 35243. The listed phone number is (205) 802-2000.

What is Russell Beaty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Russell Beaty enrolled in Medicare?

Yes. Russell Beaty 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 Russell Beaty accept?

Health plans from Blue Cross and Blue Shield of Alabama list Russell Beaty 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 Russell Beaty was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.