DR. JAMES R TOMLINSON MD NPI 1730169129
Anesthesiology in Birmingham, AL

About DR. JAMES R TOMLINSON MD

James Tomlinson is an anesthesiologist established in Birmingham, Alabama and his medical specialization is Anesthesiology with more than 26 years of experience. He graduated from University Of Alabama School Of Medicine in 1997. The NPI number of this provider is 1730169129 and was assigned on January 2006. The practitioner's primary taxonomy code is 207L00000X with license number 00021938 (AL). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1730169129
Provider NameDR. JAMES R TOMLINSON MD
Location Address701 PRINCETON AVE SW BIRMINGHAM, AL 35211
Location Phone(205) 783-3144
Mailing AddressPO BOX 235022 MONTGOMERY, AL 36123
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year1997
Is Sole Proprietor?N/A
Enumeration Date01-20-2006
Last Update Date07-08-2007

An anesthesiologist like James Tomlinson manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.James Tomlinson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

James Tomlinson is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: participation in an ahrq-listed patient safety organization., provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, use of qcdr data for quality improvement such as comparative analysis reports across patient populations, use of qcdr for feedback reports that incorporate population health and use of qcdr to support clinical decision making. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.00021938
License StateAL
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

701 PRINCETON AVE SW
BIRMINGHAM, AL
ZIP 35211
Phone: (205) 783-3144
Fax: (205) 783-3195

Get Directions


Mailing Address

PO BOX 235022
MONTGOMERY, AL
ZIP 36123
Phone: (334) 386-2051
Fax: (334) 396-6929


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3678578523
PECOS Enrollment IDI20100720000614
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Use of QCDR data for quality improvement such as comparative analysis reports across patient populationsYesN/A
Participation in a QCDR, clinical data registries, or other registries run by other government agencies such as FDA, or private entities such as a hospital or medical or surgical society. Activity must include use of QCDR data for quality improvement (e.g., comparative analysis across specific patient populations for adverse outcomes after an outpatient surgical procedure and corrective steps to address adverse outcome).
Use of QCDR for feedback reports that incorporate population healthYesN/A
Use of a QCDR to generate regular feedback reports that summarize local practice patterns and treatment outcomes, including for vulnerable populations.
Use of QCDR to support clinical decision makingYesN/A
Participation in a QCDR, demonstrating performance of activities that promote implementation of shared clinical decision making capabilities.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 108Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • 62Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • 18Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)
  • 18Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H45981MEDICARE UPIN (02)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730169129
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760261814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 2 + 6 + 1 + 8 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1730169129 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659376846 ALTON W BAKER MD
Individual
Specialist701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3000
1265412241MRS. JENNIFER ANNE WARREN CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1154301158DR. TIMOTHY WAYNE AIKEN MD
Individual
Anesthesiology701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1669452587MRS. MARCIA DELOIS BOSWELL CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1932189917MR. JEFFREY CLAYTON HUDSON CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1366422354MR. ROBERT W MEDICI CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1053391045MRS. MARGARET LUCHINI NICHOLAS CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1558341552MR. CHRISTOPHER JOSEPH DRAMER CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1548240542MS. GAIL A LOWERY CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1366422362 GINGER GREEN OSBORNE CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1538149539MRS. SANDRA ELIZABETH LANE CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1255311643DR. RICHARD J LEWIS MD
Individual
Anesthesiology701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1871566422 CECILLE M HAMMER CRNA
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(334) 386-2051
1538124425 BRUCE ERIC BURNS M.D.
Individual
Emergency Medicine701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3500
1538194535DR. JORDAN LLOYD TURNER DO
Individual
Emergency Medicine701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3500
1972685246 KURTIS A. TETER C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
1346311891DR. DUDLEY E. SCOTT DAY M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3240
1780755249 PAUL JOSEPH BIGGS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3441
1336216951 CHRISTOPHER N HILLMAN M.D.
Individual
Anesthesiology701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(334) 783-3144
1326199233DR. MARY ELAINE GUTZKE M.D.
Individual
Anesthesiology701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144

Frequently Asked Questions

What is Dr. James Tomlinson MD NPI number?

The NPI number assigned to this healthcare provider is 1730169129, registered as an "individual" on January 20, 2006

Where is Dr. James Tomlinson MD located?

The provider is located at 701 Princeton Ave Sw Birmingham, Al 35211 and the phone number is (205) 783-3144

Which is Dr. James Tomlinson MD specialty?

The provider's speciality is Anesthesiology

How many years of experience does Dr. James Tomlinson MD have?

The provider has more than 26 years of experience. He graduated from University Of Alabama School Of Medicine in 1997.

What insurance does Dr. James Tomlinson MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. James Tomlinson MD registered in PECOS?

Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are some of the services provided by Dr. James Tomlinson MD?

The most common procedures or services performed by this practitioner are: Insertion of arterial catheter for blood sampling or infusion, accessed through the skin, Insertion of central venous catheter for infusion, patient 5 years or older, Emergent insertion of breathing tube into windpipe cartilage using an endoscope and Ultrasound guidance for accessing into blood vessel.

How do I update my NPI information?

The NPI record of Dr. James Tomlinson MD was last updated on January 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.