DR. VIRGINIA STINSON RADCLIFF MD
NPI 1811121676
Internal Medicine - Pulmonary Disease in Mobile, AL

Active since May 08, 2009PECOS EnrolledAccepts Medicare Assignment
85.01/100
CMS Quality Rating
141 TUSCALOOSA ST, MOBILE, AL 36607(251) 433-3344(251) 433-4052 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Virginia Stinson Radcliff Md NPPES

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

DR. VIRGINIA STINSON RADCLIFF MD (NPI 1811121676) is an individual pulmonary disease provider in Mobile, Alabama, licensed in Alabama (34042) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1811121676
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. VIRGINIA STINSON RADCLIFFCredential: MD
Location Address141 TUSCALOOSA STMobile, AL 36607-3422
Mailing AddressPo Box 7987Mobile, AL 36670-0987 · (251) 433-3344 · Fax (251) 433-4052
Fax(251) 433-4052
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 8, 2009
Last NPPES UpdateJune 21, 2023
NPPES CertifiedJune 21, 2023
NPI 1811121676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in AL · 34042 Licensed in NC · 2012-01242
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 MedicineTaxonomy 207R00000X · License 34042 (AL), MT194953 (PA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2012-01242 (NC)
141 TUSCALOOSA ST, Mobile, AL 36607

Secondary Practice Locations 4

Location 18725 County Road 64Daphne, AL 36526-6061 · Phone (251) 625-1370 · Fax (251) 625-1380
Location 2100 Memorial Hospital Dr Ste 1AMobile, AL 36608-1128 · Phone (251) 343-6848 · Fax (251) 343-5708
Location 35955 Airport BlvdMobile, AL 36608-3135 · Phone (251) 633-0573 · Fax (251) 633-7367
Location 42001 Spring Hill AveMobile, AL 36607 · Phone (251) 433-3344 · Fax (251) 433-4052

Other Identifiers 17

Medicaid209457AL
Medicaid211669AL
Other511-61733AL · Bcbs Of Al
Other5445860AL · United Healthcare
OtherP01503015AL · Rr Medicare
Other02585257MS · Ms Medicaid
Medicaid209761AL
Medicaid212877AL
Other512-05764AL · Bcbs Of Al
Other9188150AL · Cigna Hc
Medicaid172304AL
OtherZ97037AL · Viva Health
Other511-62263AL · Bcbs Of Al
Other511-95739AL · Bcbs Of Al
Medicaid213240AL
Other4738605AL · Aetna
Other512-05765AL · Bcbs Of Al

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. Virginia Stinson Radcliff 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 ID3779898846
PECOS Enrollment IDI20150818006238
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 41

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.

Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
354 services180 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
269 services149 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
261 services193 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
245 services108 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
213 services69 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.
186 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36607 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.

85.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.02
Improvement Activities40
Cost37.08

Reported Quality Measures

Advance Care Plan
100%652 patients5/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
100%35 patients
Documentation of Current Medications in the Medical Record
100%2,466 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%1,152 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 752 patients
Patients screened: 100% · 752 patients
100%114 patients5/55-star benchmark: 100%
Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
100%136 patients
Sleep Apnea: Severity Assessment at Initial Diagnosis
100%43 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%192 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 14

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers25 claims53 services$1.53 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier11 claims22 services$1.10 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
3 suppliers12 claims12 services$13.80 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
7 suppliers50 claims50 services$17.90 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers17 claims17 services$858.98 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
10 suppliers98 claims99 services$6.20 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 10

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

Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Nurse Practitioner
141 TUSCALOOSA ST
MOBILE, AL 36607
Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Nurse Practitioner (Acute Care)
141 TUSCALOOSA ST
MOBILE, AL 36607
Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Nurse Practitioner (Gerontology)
141 TUSCALOOSA ST
MOBILE, AL 36607

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 Virginia Radcliff's NPI number?

The NPI number for Virginia Radcliff is 1811121676. It was assigned to this individual provider in the NPPES registry on May 8, 2009.

Where is Virginia Radcliff located?

Virginia Radcliff practices at 141 Tuscaloosa St, Mobile, AL 36607. The listed phone number is (251) 433-3344.

What is Virginia Radcliff's specialty?

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

Is Virginia Radcliff enrolled in Medicare?

Yes. Virginia Radcliff 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 Virginia Radcliff 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 1 other insurer list Virginia Radcliff 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 Virginia Radcliff was last updated on June 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.