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DR. DONNA FICO MD
NPI 1750339057
Internal Medicine in Birmingham, AL

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
65.9/100
CMS Quality Rating
48 MEDICAL PARK DR E, STE 457, BIRMINGHAM, AL 35235(205) 838-3800(205) 838-3206 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donna Fico Md NPPES

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

DR. DONNA FICO MD (NPI 1750339057) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (00024690) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1750339057
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DONNA FICOCredential: MD
Location Address48 MEDICAL PARK DR E, STE 457Birmingham, AL 35235-3400
Mailing Address48 Medical Park Dr E, Ste 457Birmingham, AL 35235-3400 · (205) 838-3800 · Fax (205) 838-3206
Phone(205) 838-3800
Fax(205) 838-3206
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 5, 2006
Last NPPES UpdateAugust 10, 2012
✔ NPI 1750339057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · 00024690
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
48 MEDICAL PARK DR E, Birmingham, AL 35235
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Other Identifiers 3

Medicaid009971315AL
Medicare UPINH67671AL
Medicare ID-Type Unspecified051555244FICAL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Dr. Donna Fico 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 ID5799741724
PECOS Enrollment IDI20041201001138
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
306 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
160 services71 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
68 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
51 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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.

65.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.94
Improvement Activities0
Cost83.99

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$76.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$34.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAMES R DOLLAR MD
Obstetrics & Gynecology (Gynecology)
48 MEDICAL PARK DR E, SUITE 355
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3036
EASTERN MEDICAL SPECIALISTS, P.C.
Internal Medicine
48 MEDICAL PARK DR E, SUITE 457
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3800
DR. DALTON ANTHONY BEDSOLE M.D.
Specialist
48 MEDICAL PARK DR E, SUITE 350
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3040
HUGH P. BRINDLEY D.M.D.,P.A.
Dentist (Oral and Maxillofacial Surgery)
48 MEDICAL PARK DR E, SUITE 158
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3060
DR. R REX PAYNE M.D.
Dermatology (Dermatopathology)
48 MEDICAL PARK DR E, SUITE 458
BIRMINGHAM, AL 35235
Jefferson County (205) 838-1811
EASTERN OBSTETRICS AND GYNECOLOGY, P.C.
Obstetrics & Gynecology
48 MEDICAL PARK DR E, SUITE 355
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3036
MRS. LAUREN TOOHEY NYE MS, CCC-A
Audiologist
48 MEDICAL PARK DR E, SUITE 153
BIRMINGHAM, AL 35235
Jefferson County (205) 838-3755
DR. ANKREHAH TRIMBLE JOHNSON DO
Family Medicine
48 MEDICAL PARK DR E, SUITE 154
BIRMINGHAM, AL 35235
Jefferson County (205) 202-5650

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 Donna Fico's NPI number?

The NPI number for Donna Fico is 1750339057. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Donna Fico located?

Donna Fico practices at 48 Medical Park Dr E Ste 457, Birmingham, AL 35235. The listed phone number is (205) 838-3800.

What is Donna Fico's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Donna Fico enrolled in Medicare?

Yes. Donna Fico 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 Donna Fico accept?

Health plans from Blue Cross and Blue Shield of Alabama list Donna Fico 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 Donna Fico was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.