JOHN MATTHEW RAYMOND PIERCE M.D.
NPI 1669799961
Internal Medicine - Hematology & Oncology in Birmingham, AL

Active since April 26, 2010PECOS EnrolledAccepts Medicare Assignment
81.33/100
CMS Quality Rating
100 PILOT MEDICAL DR STE 175, BIRMINGHAM, AL 35235(205) 856-8488 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 8, 2019, Aug 14, 2018 (2 updates tracked since 2018).

About John Matthew Raymond Pierce M.d. NPPES

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

JOHN MATTHEW RAYMOND PIERCE M.D. (NPI 1669799961) is an individual hematology & oncology provider in Birmingham, Alabama, licensed in Alabama (31405) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2010).

NPPES Registry Identity

NPI1669799961
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJOHN MATTHEW RAYMOND PIERCECredential: M.D.
Location Address100 PILOT MEDICAL DR STE 175Birmingham, AL 35235
Mailing Address100 Pilot Medical Dr Ste 175Birmingham, AL 35235-3448 · (205) 856-8488
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2010
Enumeration DateApril 26, 2010
Last NPPES UpdateApril 8, 20192 updates tracked since enumeration
✔ NPI 1669799961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in AL · 31405
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 31405 (AL)
100 PILOT MEDICAL DR STE 175, Birmingham, AL 35235

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Matthew Raymond Pierce 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 ID2668619438
PECOS Enrollment IDI20130805000934
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.

Medicare Billing Reassignment

Medicare enrollment records show John Matthew Pierce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hematology & Oncology
2022 MEDICAL CENTER DR STE 628
Birmingham, AL 35209
  • Reassigned Medicare billing, Alabama enrollment
  • 47 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 26

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
13,500 services13 patients
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
9,690 services13 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,800 services20 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
2,100 services20 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
904 services25 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
752 services236 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
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.

81.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.81
Promoting Interoperability91
Improvement Activities40
Cost54.79

Referred Medical Equipment & Supplies CMS DME claims

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

Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg J1599
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims600 services$55.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Matthew Pierce's NPI number?

The NPI number for John Matthew Pierce is 1669799961. It was assigned to this individual provider in the NPPES registry on April 26, 2010.

Where is John Matthew Pierce located?

John Matthew Pierce practices at 100 Pilot Medical Dr Ste 175, Birmingham, AL 35235. The listed phone number is (205) 856-8488.

What is John Matthew Pierce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is John Matthew Pierce enrolled in Medicare?

Yes. John Matthew Pierce 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.

Which organization bills Medicare for John Matthew Pierce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Matthew Pierce reassigns Medicare benefits to Birmingham Hematology Oncology Assoc LLC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Matthew Pierce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Matthew Pierce accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list John Matthew Pierce 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 Matthew Pierce was last updated on April 8, 2019. 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.