DR. BRIAN M SCHOLL MD
NPI 1801857032
Orthopaedic Surgery in Huntsville, AL

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
52.59/100
CMS Quality Rating
927 FRANKLIN ST, HUNTSVILLE, AL 35801(256) 539-2728(256) 428-3423 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian M Scholl Md NPPES

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

DR. BRIAN M SCHOLL MD (NPI 1801857032) is an individual orthopaedic surgery provider in Huntsville, Alabama, licensed in Alabama (22994) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical Center, and is a graduate of Emory University School Of Medicine (1998).

NPPES Registry Identity

NPI1801857032
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BRIAN M SCHOLLCredential: MD
Location Address927 FRANKLIN STHuntsville, AL 35801
Mailing Address927 Franklin StHuntsville, AL 35801 · (256) 539-2728 · Fax (256) 428-3423
Fax(256) 428-3423
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1998
Enumeration DateMarch 29, 2006
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
NPI 1801857032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in AL · 22994 Licensed in TN · 37306
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 22994 (AL)
927 FRANKLIN ST, Huntsville, AL 35801

Other Identifiers 5

Other7403598AL · Aetna
Other200038945AL · Railroad Medicare
Other51521967AL · Bcbs
Medicaid009950985AL
Other0910726AL · United Healthcare

Accepted 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. Brian M Scholl 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 ID5799764254
PECOS Enrollment IDI20040717000267
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 33

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
377 services308 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
341 services272 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
300 services270 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
263 services27 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
228 services168 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
93 services93 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440102
Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

52.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality51.92
Promoting Interoperability0
Improvement Activities40
Cost73.39

Reported Quality Measures

Advance Care Plan
16%1,526 patients1/55-star benchmark: 100%
Breast Cancer Screening
0%870 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%461 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%34 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,681 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
0%912 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%55 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
42%4,314 patients1/55-star benchmark: 100%
e-Prescribing
99%664 patients4/55-star benchmark: 100%
Falls: Plan of Care
90%69 patients
Falls: Screening for Future Fall Risk
0%1,357 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%2,606 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 5% · 204 patients
Patients screened: 90% · 1,126 patients
94%71 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 24% · 2,308 patients
92%66 patients
Provide Patients Electronic Access to Their Health Information
97%1,035 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 1,357 patients
Patients totalRate: 15% · 1,357 patients
15%1,357 patients3/55-star benchmark: 100%
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 3

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
8 suppliers13 claims13 services$53.37 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
1 supplier11 claims11 services$83.19 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers14 claims14 services$23.96 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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Pain Medicine)
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physical Medicine & Rehabilitation
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Sports Medicine)
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Hand Surgery)
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physician Assistant
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physical Medicine & Rehabilitation
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
927 FRANKLIN ST
HUNTSVILLE, AL 35801

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 Brian Scholl's NPI number?

The NPI number for Brian Scholl is 1801857032. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Brian Scholl located?

Brian Scholl practices at 927 Franklin St, Huntsville, AL 35801. The listed phone number is (256) 539-2728.

What is Brian Scholl's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Brian Scholl enrolled in Medicare?

Yes. Brian Scholl 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 Brian Scholl accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Brian Scholl 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.

Is Brian Scholl affiliated with any hospitals?

According to CMS data, Brian Scholl is affiliated with Lincoln Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Scholl was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.