ANTHONY BIANCHI
NPI 1699201079
Psychiatry & Neurology - Psychiatry in Hoover, AL

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
27.59/100
CMS Quality Rating
1200 CORPORATE DR STE 125, HOOVER, AL 35242(205) 329-7992 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anthony Bianchi NPPES

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

ANTHONY BIANCHI (NPI 1699201079) is an individual psychiatry provider in Hoover, Alabama, licensed in Alabama (DO.2897) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of Alabama College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1699201079
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameANTHONY BIANCHI
Location Address1200 CORPORATE DR STE 125Hoover, AL 35242-5447
Mailing Address101 Little RdTallassee, AL 36078-7423 · (334) 202-0584
Sole ProprietorYes
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 4, 2017
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
NPI 1699201079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in AL · DO.2897
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1200 CORPORATE DR STE 125, Hoover, AL 35242

Secondary Practice Location 1

Location 13901 Rainbow BlvdKansas City, KS 66160-8500 · Phone (913) 588-5000 ext. 85000

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

Anthony Bianchi 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 ID3678845492
PECOS Enrollment IDI20221009000071
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 2

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.

Follow-up hospital inpatient care per day, typically 25 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.
30 services18 patients
Follow-up hospital inpatient care per day, typically 35 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35242 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
$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.

27.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost91.98

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
1200 CORPORATE DR STE 125
HOOVER, AL 35242

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 Anthony Bianchi's NPI number?

The NPI number for Anthony Bianchi is 1699201079. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Anthony Bianchi located?

Anthony Bianchi practices at 1200 Corporate Dr Ste 125, Hoover, AL 35242. The listed phone number is (205) 329-7992.

What is Anthony Bianchi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Anthony Bianchi enrolled in Medicare?

Yes. Anthony Bianchi 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 Anthony Bianchi 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 2 other insurers list Anthony Bianchi 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 Anthony Bianchi was last updated on August 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.