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MICHAEL R CRAIN M.D.
NPI 1760598916
Internal Medicine - Pulmonary Disease in Birmingham, AL

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
817 PRINCETON AVE SW, STE 115, BIRMINGHAM, AL 35211(205) 780-1963(205) 780-1967 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael R Crain M.d. NPPES

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

MICHAEL R CRAIN M.D. (NPI 1760598916) is an individual pulmonary disease provider in Birmingham, Alabama, licensed in Alabama (10913) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1982).

NPPES Registry Identity

NPI1760598916
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL R CRAINCredential: M.D.
Location Address817 PRINCETON AVE SW, STE 115Birmingham, AL 35211-1333
Mailing Address1445 Ross Ave Ste 1400Dallas, TX 75202-2703 · (469) 893-2065 · Fax (469) 893-3065
Phone(205) 780-1963
Fax(205) 780-1967
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1982
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 27, 2018
✔ NPI 1760598916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in AL · 10913
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 10913 (AL)
817 PRINCETON AVE SW, Birmingham, AL 35211
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Other Identifiers 4

Medicaid000081772AL
Other51081772AL · Blue Cross Of Al
Other110008009AL · Railroad Medicare Pin
OtherCL1358AL · Railroad Medicare Group #

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

Michael R Crain 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 ID3476526922
PECOS Enrollment IDI20101020000750
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 7

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
272 services91 patients
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.
237 services116 patients
Extended inpatient or observation hospital service, first hour 99356
This service involves staying in the hospital for a longer period for close monitoring or treatment. During the first hour, medical staff observe your health status, administer necessary treatments, and ensure your comfort and safety. It's part of ensuring optimal care.
40 services28 patients
Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
25 services14 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
23 services14 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
13 services13 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,035 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,869 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
89%826 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
8%450 patients1/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
10%463 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 29% · 324 patients
34%324 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
31%826 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 450 patients
1%450 patients4/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
0%826 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$37.67 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
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
3 suppliers21 claims21 services$76.82 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$31.52 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.

DR. MICHAEL A DRUMMOND MD
Surgery (Vascular Surgery)
817 PRINCETON AVE SW, SUITE 306
BIRMINGHAM, AL 35211
Jefferson County (205) 783-0160
SOUTHEASTERN DERMATOLOGY CENTERS
Specialist
817 PRINCETON AVE SW, POB II, SUITE 302
BIRMINGHAM, AL 35211
Jefferson County (205) 781-6995
DR. VASUDEVA RAO GOLI M.D.
Internal Medicine (Cardiovascular Disease)
817 PRINCETON AVE SW, PROFESSIONAL BLDG 2 SUITE 202
BIRMINGHAM, AL 35211
Jefferson County (205) 786-8815
MR. JERRY W JACKSON MD
Internal Medicine (Nephrology)
817 PRINCETON AVE SW, SUITE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 226-5911
MR. JASON J TSAI MD
Internal Medicine (Nephrology)
817 PRINCETON AVE SW, POB 2 SUITE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 226-5911
MRS. MICHELE M THOMAS MD
Internal Medicine (Nephrology)
817 PRINCETON AVE SW, POB 2 SUITE 210
BIRMINGHAM, AL 35211
Jefferson County (205) 788-7574
THORACIC CARDIAC & VASCULAR SURGERY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
817 PRINCETON AVE SW, POB II, SUITE 300
BIRMINGHAM, AL 35211
Jefferson County (205) 780-8980
SUSAN SHORT CRNP
Nurse Practitioner (Acute Care)
817 PRINCETON AVE SW, STE 115
BIRMINGHAM, AL 35211
Jefferson County (205) 780-1963

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 Michael Crain's NPI number?

The NPI number for Michael Crain is 1760598916. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Michael Crain located?

Michael Crain practices at 817 Princeton Ave SW Ste 115, Birmingham, AL 35211. The listed phone number is (205) 780-1963.

What is Michael Crain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Crain enrolled in Medicare?

Yes. Michael Crain 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 Michael Crain accept?

Health plans from Blue Cross and Blue Shield of Alabama list Michael Crain 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 Michael Crain was last updated on December 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.