DR. JAMES R TOMLINSON MD NPI 1730169129

Anesthesiology in Birmingham, AL

NPI 1730169129 Individual Male Years of Experience 25 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JAMES TOMLINSON

James Tomlinson is a provider established in Birmingham, Alabama and his medical specialization is anesthesiology with more than 25 years of experience. He graduated from University Of Alabama School Of Medicine in 1997. The NPI number of James Tomlinson 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 15 years ago.

An anesthesiologist like Dr. James R Tomlinson Md 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 healthcare 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 Grandview Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: participation in an ahrq-listed patient safety organization., post-anesthetic transfer of care: use of checklist or protocol for direct transfer of care from procedure room to intensive care unit (icu), 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.

NPI

1730169129

Provider NameDR. JAMES R TOMLINSON MD
Provider Location Address701 PRINCETON AVE SW BIRMINGHAM, AL 35211
Provider 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
Is Organization Subpart?N/A
Enumeration Date01-20-2006
Last Update Date07-08-2007


Primary Taxonomy

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.

Business Address

DR. JAMES R TOMLINSON MD
701 PRINCETON AVE SW
BIRMINGHAM, AL
ZIP 35211
Phone: (205) 783-3144
Fax: (205) 783-3195

Get Directions


Mailing Address

DR. JAMES R TOMLINSON MD
PO BOX 235022
MONTGOMERY, AL
ZIP 36123
Phone: (334) 386-2051
Fax: (334) 396-6929



Medicare Participation

Registered in PECOS? Yes 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.
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

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)

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU) 100% 20
Percentage of patients, regardless of age, who undergo a procedure under anesthesia and are admitted to an Intensive Care Unit (ICU) directly from the anesthetizing location, who have a documented use of a checklist or protocol for the transfer of care from the responsible anesthesia practitioner to the responsible ICU team or team member

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. James Tomlinson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GRANDVIEW MEDICAL CENTER3690 GRANDVIEW PARKWAY
BIRMINGHAM, AL 35243
(205) 971-1000Acute Care Hospitals10104

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)

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
1730124645DR. SCOTT WILLIAM NALEY MD
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
1548351604 VONDA LEE MORROW ARD C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered701 PRINCETON AVE SW
BIRMINGHAM, AL 35211
(205) 783-3144
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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.