EDGAR SHEILDS FREY MD
NPI 1821100413
Surgery in Birmingham, AL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
81.03/100
CMS Quality Rating
860 MONTCLAIR RD STE 754, BIRMINGHAM, AL 35213(205) 591-2565(205) 986-0081 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Edgar Sheilds Frey Md NPPES

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

EDGAR SHEILDS FREY MD (NPI 1821100413) is an individual surgery provider in Birmingham, Alabama, licensed in Alabama (11671) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1983).

NPPES Registry Identity

NPI1821100413
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEDGAR SHEILDS FREYCredential: MD
Location Address860 MONTCLAIR RD STE 754Birmingham, AL 35213-1950
Mailing Address860 Montclair Rd Ste 754Birmingham, AL 35213-1950 · (205) 591-2565 · Fax (205) 986-0081
Fax(205) 986-0081
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1983
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821100413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 11671
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
860 MONTCLAIR RD STE 754, Birmingham, AL 35213

Other Identifiers 2

Medicare ID-Type Unspecified000085727AL
Medicare UPINC70712AL

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

Edgar Sheilds Frey 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 ID3072541259
PECOS Enrollment IDI20050728001278
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 Edgar Frey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
47344 US HIGHWAY 78
Lincoln, AL 35096
  • Reassigned Medicare billing, Alabama enrollment
  • 430 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 35213 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.

81.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.68
Promoting Interoperability100
Improvement Activities40
Cost66.08

Other Providers at the Same Location NPPES

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

Surgery
860 MONTCLAIR RD STE 754
BIRMINGHAM, AL 35213

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 Edgar Frey's NPI number?

The NPI number for Edgar Frey is 1821100413. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Edgar Frey located?

Edgar Frey practices at 860 Montclair Rd Ste 754, Birmingham, AL 35213. The listed phone number is (205) 591-2565.

What is Edgar Frey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edgar Frey enrolled in Medicare?

Yes. Edgar Frey 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 Edgar Frey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Frey reassigns Medicare benefits to Baptist Health Centers, LLC (Lincoln, 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 Edgar Frey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Frey accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Edgar Frey 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 Edgar Frey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.