CHARLES G. FAGAN M.D.
NPI 1710073820
Psychiatry & Neurology - Neurology in Birmingham, AL

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

81.03/100

CMS Quality Rating

832 PRINCETON AVE SW, BIRMINGHAM, AL 35211(205) 503-4281(205) 503-4285 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Charles G. Fagan M.d. NPPES

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

CHARLES G. FAGAN M.D. (NPI 1710073820) is an individual neurology provider in Birmingham, Alabama, licensed in Alabama (13522) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1986).

NPPES Registry Identity

NPI1710073820

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameCHARLES G. FAGANCredential: M.D.

Location Address832 PRINCETON AVE SWBirmingham, AL 35211-1320

Mailing AddressP.o. Box 12366Birmingham, AL 35202-2366 · (205) 780-7101 · Fax (205) 206-8338

Phone(205) 503-4281

Fax(205) 503-4285

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1986

Enumeration DateOctober 5, 2006

Last NPPES UpdateAugust 1, 2008

✔ NPI 1710073820 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 · 13522

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.

832 PRINCETON AVE SW, Birmingham, AL 35211

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Other Identifiers 3

Medicare ID-Type Unspecified0515-56458AL

Medicaid051556458AL

Medicare UPINC70067AL

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

Charles G. Fagan 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 ID2062448855

PECOS Enrollment IDI20050826000364

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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.

225 services135 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

123 services88 patients

Initial hospital inpatient care per day, typically 50 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

83 services83 patients

Initial hospital inpatient care per day, typically 70 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.

47 services45 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

45 services45 patients

Established patient office or other outpatient visit, 40-54 minutes 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.

27 services25 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

24 services24 patients

Measurement of brain wave activity (eeg), in coma or asleep 95822

The measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This is done when you're asleep or in a coma, to help understand brain function and identify any abnormalities.

21 services19 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

20 services20 patients

New patient office or other outpatient visit, 45-59 minutes 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.

19 services19 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

18 services18 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

16 services15 patients

New patient office or other outpatient visit, 60-74 minutes 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.

14 services14 patients

Nerve conduction, 13 or more studies 95913

Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35211 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.

81.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.68

Promoting Interoperability

100

Improvement Activities

Cost

66.08

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.

NANCY L ZUMSTEIN M.D.

Pediatrics