PAUL SIDNEY STEPHEN M.D.
NPI 1619916475
Internal Medicine - Pulmonary Disease in Birmingham, AL

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
2022 BROOKWOOD MEDICAL CTR DR, STE. 510, BIRMINGHAM, AL 35209(205) 250-8910(205) 250-6591 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Sidney Stephen M.d. NPPES

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

PAUL SIDNEY STEPHEN M.D. (NPI 1619916475) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in Alabama (15966) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1990).

NPPES Registry Identity

NPI1619916475
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePAUL SIDNEY STEPHENCredential: M.D.
Location Address2022 BROOKWOOD MEDICAL CTR DR, STE. 510Birmingham, AL 35209-6808
Mailing AddressPo Box 830230Birmingham, AL 35283-0230 · (205) 250-6000 · Fax (205) 250-6848
Fax(205) 250-6591
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1990
Enumeration DateJune 6, 2006
Last NPPES UpdateMarch 20, 2015
NPI 1619916475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AL · 15966
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.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 15966 (AL)
2022 BROOKWOOD MEDICAL CTR DR, Birmingham, AL 35209

Other Identifiers 3

Medicaid000089062AL
Medicare PIN000089062
Medicare UPINE86632AL

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

Paul Sidney Stephen 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 ID9638257587
PECOS Enrollment IDI20080418000026
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 9

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 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.
300 services82 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.
117 services37 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.
95 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services88 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
80 services78 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 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.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers41 claims41 services$34.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
29 suppliers186 claims186 services$82.31 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers187 claims406 services$31.73 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers145 claims572 services$17.37 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers50 claims266 services$12.87 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
19 suppliers186 claims186 services$48.54 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 20

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

Nurse Practitioner (Family)
2022 BROOKWOOD MEDICAL CTR DR
BIRMINGHAM, AL 35209
Internal Medicine
2022 BROOKWOOD MEDICAL CTR DR, SUITE 307
BIRMINGHAM, AL 35209
Nurse Practitioner
2022 BROOKWOOD MEDICAL CTR DR, SUITE 211
BIRMINGHAM, AL 35209
Internal Medicine (Cardiovascular Disease)
2022 BROOKWOOD MEDICAL CTR DR, SUITE 510
BIRMINGHAM, AL 35209
Internal Medicine (Cardiovascular Disease)
2022 BROOKWOOD MEDICAL CTR DR, SUITE 402
BIRMINGHAM, AL 35209
Internal Medicine (Hematology & Oncology)
2022 BROOKWOOD MEDICAL CTR DR, AMBULATORY CARE CENTER, STE 628
BIRMINGHAM, AL 35209
Colon & Rectal Surgery
2022 BROOKWOOD MEDICAL CTR DR, SUITE 313
BIRMINGHAM, AL 35209
Urology
2022 BROOKWOOD MEDICAL CTR DR, SUITE 510
BIRMINGHAM, AL 35209

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 Paul Stephen's NPI number?

The NPI number for Paul Stephen is 1619916475. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Paul Stephen located?

Paul Stephen practices at 2022 Brookwood Medical Ctr Dr Ste. 510, Birmingham, AL 35209. The listed phone number is (205) 250-8910.

What is Paul Stephen's specialty?

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

Is Paul Stephen enrolled in Medicare?

Yes. Paul Stephen 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 Paul Stephen 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 Paul Stephen 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 Paul Stephen was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.