ERIK JOSEPH KOUBA M.D.
NPI 1568659522
Pathology - Anatomic Pathology & Clinical Pathology in Bessemer, AL

Q: What is Erik Kouba's NPI number?

The NPI number for Erik Kouba is 1568659522. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Q: What is Erik Kouba's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Erik Kouba was last updated on April 26, 2023. 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.

Active since October 03, 2007PECOS EnrolledAccepts Medicare Assignment

73.51/100

CMS Quality Rating

985 9TH AVE SW, BESSEMER, AL 35022(205) 481-7000 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2018, Aug 14, 2017 (2 updates tracked since 2017).

On this page

About Erik Joseph Kouba M.d. NPPES

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

ERIK JOSEPH KOUBA M.D. (NPI 1568659522) is an individual anatomic pathology & clinical pathology provider in Bessemer, Alabama, licensed in Alabama (30970) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2007).

NPPES Registry Identity

NPI1568659522

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameERIK JOSEPH KOUBACredential: M.D.

Location Address985 9TH AVE SWBessemer, AL 35022-4500

Mailing AddressPo Box 55310Birmingham, AL 35255-5310

Phone(205) 481-7000

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2007

Enumeration DateOctober 3, 2007

Last NPPES UpdateApril 26, 20232 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1568659522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in AL · 30970✔ Licensed in GA · 80322

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

985 9TH AVE SW, Bessemer, AL 35022

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Accepted Insurance

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

Erik Joseph Kouba M.d. 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 ID1254578693

PECOS Enrollment IDI20170622000635

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 5

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

542 services264 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

88 services20 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

49 services39 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

46 services43 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

46 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35022 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.

73.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.83

Improvement Activities

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.

JANE ANN GEHLSEN MD

Internal Medicine (Hematology & Oncology)

985 9TH AVE SW, SUITE 404
BESSEMER, AL 35022

Jefferson County (205) 481-8475

JAMES C RAINS JR MD PC

Ophthalmology

985 9TH AVE SW, SUITE 401
BESSEMER, AL 35022

Jefferson County (205) 481-7840

JULIE ANN ZITTERKOPF LARSON MD

Physical Medicine & Rehabilitation

985 9TH AVE SW
BESSEMER, AL 35022

Jefferson County (205) 481-7000

HOPE WEST P.C.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

985 9TH AVE SW, SUITE 201
BESSEMER, AL 35022

Jefferson County (205) 481-8555

METRO PODIATRY & SPORTS MEDICINE

Podiatrist (Foot Surgery)

985 9TH AVE SW, SUITE # 405
BESSEMER, AL 35022

Jefferson County (205) 481-8524

GARY EUGENE BOUTWELL CRNA

Nurse Anesthetist, Certified Registered

985 9TH AVE SW, SUITE 403
BESSEMER, AL 35022

Jefferson County (205) 481-8470

DR. THOMAS CARL PENDLETON M.D.

Internal Medicine

985 9TH AVE SW, SUITE 406
BESSEMER, AL 35022

Jefferson County (205) 481-7470

DR. JEFFERY L JONES MD

Internal Medicine (Gastroenterology)

985 9TH AVE SW, STE. 307
BESSEMER, AL 35022

Jefferson County (205) 481-7384

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 Erik Kouba's NPI number?

The NPI number for Erik Kouba is 1568659522. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Where is Erik Kouba located?

Erik Kouba practices at 985 9th Ave SW, Bessemer, AL 35022. The listed phone number is (205) 481-7000.

What is Erik Kouba's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Erik Kouba enrolled in Medicare?

Yes. Erik Kouba 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 Erik Kouba accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Erik Kouba 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 Erik Kouba was last updated on April 26, 2023. 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.