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DR. JAMES RONALD HIRSCH MD
NPI 1609867803
Neurological Surgery in Mobile, AL

Active since November 04, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6701 AIRPORT BLVD STE D146, MOBILE, AL 36608(251) 287-2176(251) 287-2279 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2018, Feb 15, 2017 (2 updates tracked since 2017).

About Dr. James Ronald Hirsch Md NPPES

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

DR. JAMES RONALD HIRSCH MD (NPI 1609867803) is an individual neurological surgery provider in Mobile, Alabama, licensed in Alabama (33723) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1992).

NPPES Registry Identity

NPI1609867803
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JAMES RONALD HIRSCHCredential: MD
Location Address6701 AIRPORT BLVD STE D146Mobile, AL 36608-6701
Mailing Address6701 Airport Blvd, Ste D146Mobile, AL 36608-6701 · (251) 287-2176 · Fax (251) 287-2279
Phone(251) 287-2176
Fax(251) 287-2279
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1992
Enumeration DateNovember 4, 2005
Last NPPES UpdateOctober 1, 20182 updates tracked since enumeration
✔ NPI 1609867803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in AL · 33723
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
6701 AIRPORT BLVD STE D146, Mobile, AL 36608
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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

Dr. James Ronald Hirsch 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 ID8123115284
PECOS Enrollment IDI20150402001241
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 7

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.

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.
126 services75 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
42 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
41 services33 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.
35 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551
This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier12 claims12 services$3,487.51 avg. paid by Medicare
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) L0120
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$23.49 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 3

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

DR. SHAWN B CLARK M.D.
Neurological Surgery
6701 AIRPORT BLVD STE D146
MOBILE, AL 36608
Mobile County (251) 287-2176
PINNACLE BRAIN AND SPINE CENTER
Neurological Surgery
6701 AIRPORT BLVD STE D146
MOBILE, AL 36608
Mobile County (251) 633-5155
JESSE EDMUND HOLLEN
Physician Assistant
6701 AIRPORT BLVD STE D146
MOBILE, AL 36608
Mobile County (251) 287-2176

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 James Hirsch's NPI number?

The NPI number for James Hirsch is 1609867803. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is James Hirsch located?

James Hirsch practices at 6701 Airport Blvd Ste D146, Mobile, AL 36608. The listed phone number is (251) 287-2176.

What is James Hirsch's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is James Hirsch enrolled in Medicare?

Yes. James Hirsch 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 James Hirsch 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 James Hirsch 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 James Hirsch was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.