DR. WILLIAM PEYTON SHIRLEY M.D.
NPI 1568556280
Otolaryngology - Pediatric Otolaryngology in Birmingham, AL
NPI Status: Active since October 03, 2006
Contact Information
5406 HIGHWAY 280
SUITE A101
BIRMINGHAM, AL
ZIP 35242
Phone: (205) 874-9436
Fax: (205) 874-9438
- Individual
- Male
- Otolaryngology
- Pediatric Otolaryngology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM SHIRLEY
This page provides the complete NPI Profile along with additional information for William Shirley, a provider established in Birmingham, Alabama with a medical specialization in Otolaryngology, focusing in pediatric otolaryngology . The healthcare provider is registered in the NPI registry with number 1568556280 assigned on October 2006. The practitioner's primary taxonomy code is 207YP0228X with license number 22947 (AL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1568556280
- Provider Name
- DR. WILLIAM PEYTON SHIRLEY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5406 HIGHWAY 280 SUITE A101 BIRMINGHAM, AL 35242
- Location Phone
- (205) 874-9436
- Location Fax
- (205) 874-9438
- Mailing Address
- 5406 HIGHWAY 280 SUITE A101 BIRMINGHAM, AL 35242
- Mailing Phone
- (205) 874-9436
- Mailing Fax
- (205) 874-9438
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-03-2006
- Last Update Date
- 11-16-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Pediatric Otolaryngology
- Taxonomy Code
- 207YP0228X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22947
- License State
- AL
- Taxonomy Description
- A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 511-46495 | OTHER (01) | AL | BLUECROSS BLUESHIELD |
| 7639777 | OTHER (01) | AL | AETNA |
| 159949 | MEDICAID (05) | AL | |
| 160779 | MEDICAID (05) | AL | |
| 630307306 | OTHER (01) | AL | UNITED HEALTHCARE |
| 8216659 | OTHER (01) | AL | CIGNA |
| I35803 | OTHER (01) | AL | VIVA HEALTH |
Medicare Participation & PECOS Enrollment Status
William Shirley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568556280, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
HOOVER, AL 35242
BIRMINGHAM, AL 35242
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568556280, enumerated as an "individual" on October 03, 2006.
The provider is located at 5406 HIGHWAY 280 SUITE A101 BIRMINGHAM, AL 35242 and the phone number is (205) 874-9436.
Otolaryngology with taxonomy code 207YP0228X and a focus in Pediatric Otolaryngology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare,. Please consult your insurance carrier or call the provider to verify.
