DR. JOSEPH WILLIAM ELPHINGSTONE MD
NPI 1730818436
Family Medicine in Birmingham, AL

Active since June 08, 2022PECOS EnrolledAccepts Medicare Assignment
1201 11TH AVE S, BIRMINGHAM, AL 35205(205) 930-7100 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph William Elphingstone Md NPPES

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

DR. JOSEPH WILLIAM ELPHINGSTONE MD (NPI 1730818436) is an individual family medicine provider in Birmingham, Alabama, licensed in Alabama (51027) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730818436
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH WILLIAM ELPHINGSTONECredential: MD
Location Address1201 11TH AVE SBirmingham, AL 35205-3410
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2022
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1730818436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 51027
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1201 11TH AVE S, Birmingham, AL 35205

Secondary Practice Location 1

Location 12336 Dawson Rd Ste 2200Albany, GA 31707-2801 · Phone (770) 402-6422

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph William Elphingstone 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 ID3779048095
PECOS Enrollment IDI20260717001487
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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Elphingstone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
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.

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.

Nurse Practitioner (Acute Care)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Anesthesiology
1201 11TH AVE S
BIRMINGHAM, AL 35205
Nurse Practitioner (Family)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse (Critical Care Medicine)
1201 11TH AVE S
BIRMINGHAM, AL 35205
Registered Nurse
1201 11TH AVE S
BIRMINGHAM, AL 35205

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 Joseph Elphingstone's NPI number?

The NPI number for Joseph Elphingstone is 1730818436. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Joseph Elphingstone located?

Joseph Elphingstone practices at 1201 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 930-7100.

What is Joseph Elphingstone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joseph Elphingstone enrolled in Medicare?

Yes. Joseph Elphingstone 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.

Which organization bills Medicare for Joseph Elphingstone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Elphingstone reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Elphingstone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Elphingstone accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Joseph Elphingstone 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 Joseph Elphingstone was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.