MR. STEPHEN PATRICK SUGGS MD
NPI 1689675936
Psychiatry & Neurology - Neurology in Birmingham, AL

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
3686 GRANDVIEW PKWY STE 600, BIRMINGHAM, AL 35243(334) 281-7299 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Sep 28, 2021 (2 updates tracked since 2021).

About Mr. Stephen Patrick Suggs Md NPPES

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

MR. STEPHEN PATRICK SUGGS MD (NPI 1689675936) is an individual neurology provider in Birmingham, Alabama, licensed in Alabama (14776) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Alabama School Of Medicine (1988).

NPPES Registry Identity

NPI1689675936
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. STEPHEN PATRICK SUGGSCredential: MD
Location Address3686 GRANDVIEW PKWY STE 600Birmingham, AL 35243-3406
Mailing Address3686 Grandview Pkwy Ste 600Birmingham, AL 35243-3406
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1988
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1689675936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in AL · 14776
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3686 GRANDVIEW PKWY STE 600, Birmingham, AL 35243

Secondary Practice Location 1

Location 13686 Grandview Pkwy Ste 720Birmingham, AL 35243-3408 · Phone (205) 971-3600 · Fax (844) 772-0468

Other Identifiers 1

OtherP0105542AL · Railroad Medicare

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

Mr. Stephen Patrick Suggs 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 ID1759343643
PECOS Enrollment IDI20110805000533
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.

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.
303 services234 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.
227 services187 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.
70 services70 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
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
43%21 patients2/55-star benchmark: 92%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
95%21 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
43%37 patients2/55-star benchmark: 90%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 37 patients
0%37 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 10

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

Psychiatry & Neurology (Neurology)
3686 GRANDVIEW PKWY STE 600
BIRMINGHAM, AL 35243
Psychiatry & Neurology (Neurology)
3686 GRANDVIEW PKWY STE 600
BIRMINGHAM, AL 35243
Nurse Practitioner (Acute Care)
3686 GRANDVIEW PKWY STE 600
BIRMINGHAM, AL 35243
Psychiatry & Neurology (Neurology)
3686 GRANDVIEW PKWY STE 600
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3686 GRANDVIEW PKWY STE 600
BIRMINGHAM, AL 35243
Psychiatry & Neurology (Neurology)
3686 GRANDVIEW PKWY STE 600
BIRMINGHAM, AL 35243
Psychiatry & Neurology (Neurology)
3686 GRANDVIEW PKWY STE 600
BIRMINGHAM, AL 35243
Psychiatry & Neurology (Neurology)
3686 GRANDVIEW PKWY STE 600
BIRMINGHAM, AL 35243

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 Stephen Suggs's NPI number?

The NPI number for Stephen Suggs is 1689675936. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Stephen Suggs located?

Stephen Suggs practices at 3686 Grandview Pkwy Ste 600, Birmingham, AL 35243. The listed phone number is (334) 281-7299.

What is Stephen Suggs's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Stephen Suggs enrolled in Medicare?

Yes. Stephen Suggs 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 Stephen Suggs accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Stephen Suggs 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 Stephen Suggs was last updated on March 21, 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.