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JOHN M. CANTRELL D.O.
NPI 1609020866
Internal Medicine in Gardendale, AL

Active since November 13, 2008PECOS EnrolledAccepts Medicare Assignment
2217 DECATUR HWY, SUITE 131, GARDENDALE, AL 35071(205) 418-1200(205) 418-1271 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About John M. Cantrell D.o. NPPES

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

JOHN M. CANTRELL D.O. (NPI 1609020866) is an individual internal medicine provider in Gardendale, Alabama, licensed in Alabama (DO1085) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2007).

NPPES Registry Identity

NPI1609020866
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN M. CANTRELLCredential: D.O.
Location Address2217 DECATUR HWY, SUITE 131Gardendale, AL 35071-2301
Mailing Address2217 Decatur Hwy, Suite 131Gardendale, AL 35071-2301 · (205) 418-1200 · Fax (205) 418-1271
Phone(205) 418-1200
Fax(205) 418-1271
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2007
Enumeration DateNovember 13, 2008
Last NPPES UpdateDecember 5, 2013
✔ NPI 1609020866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · DO1085
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2217 DECATUR HWY, Gardendale, AL 35071
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Other Identifiers 4

Other1215687AL · Caqh
Other51106462AL · Blue Cross Blue Sheild Of Alabama
Medicare PIN102I116807AL
Medicaid1609020866AL

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 M. Cantrell D.o. 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 ID3678697190
PECOS Enrollment IDI20100903000665
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 6

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.

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.
278 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
101 services99 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.
74 services42 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.
64 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35071 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%124 patients5/55-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.

Other Providers at the Same Location NPPES 16

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

ORTHOSPORTS ASSOCIATES, LLC
Orthopaedic Surgery
2217 DECATUR HWY
GARDENDALE, AL 35071
Jefferson County (205) 418-1260
MELISSA MCCULLUM TONER M.D.
Internal Medicine
2217 DECATUR HWY, SUITE 101
GARDENDALE, AL 35071
Jefferson County (205) 418-1200
NOLAN LEONARD HUDSON M.D.
Internal Medicine
2217 DECATUR HWY, SUITE 101
GARDENDALE, AL 35071
Jefferson County (205) 418-1200
WILLIAM H. HOWELL M.D.
Internal Medicine
2217 DECATUR HWY, SUITE 101
GARDENDALE, AL 35071
Jefferson County (205) 418-1200
VINCENTIAN PHYSICIAN SERVICES
Clinic/Center
2217 DECATUR HWY
GARDENDALE, AL 35071
Jefferson County (205) 418-1200
SIRISHA CHADA M.D.
Family Medicine
2217 DECATUR HWY
GARDENDALE, AL 35071
Jefferson County (205) 418-1200
JEFFREY A. TERRELL P.T.
Physical Therapist
2217 DECATUR HWY, SUITE 123
GARDENDALE, AL 35071
Jefferson County (205) 418-1200
JOHN CHRISTOPHER NICHOLS M.D.
Internal Medicine
2217 DECATUR HWY, SUITE 101
GARDENDALE, AL 35071
Jefferson County (205) 418-1200

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 Cantrell's NPI number?

The NPI number for John Cantrell is 1609020866. It was assigned to this individual provider in the NPPES registry on November 13, 2008.

Where is John Cantrell located?

John Cantrell practices at 2217 Decatur Hwy Suite 131, Gardendale, AL 35071. The listed phone number is (205) 418-1200.

What is John Cantrell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Cantrell enrolled in Medicare?

Yes. John Cantrell 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 Cantrell accept?

Health plans from Blue Cross and Blue Shield of Alabama list John Cantrell 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 John Cantrell was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.