THOMAS GAVIN MCFADEN M.D.
NPI 1821319971
Family Medicine in Birmingham, AL

Active since June 11, 2010PECOS EnrolledAccepts Medicare Assignment
1 W LAKESHORE DR, SUITE 100, BIRMINGHAM, AL 35209(205) 930-2950(205) 930-2957 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Mar 3, 2016 (2 updates tracked since 2016).

About Thomas Gavin Mcfaden M.d. NPPES

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

THOMAS GAVIN MCFADEN M.D. (NPI 1821319971) is an individual family medicine provider in Birmingham, Alabama, licensed in Alabama (MD.31606) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2010).

NPPES Registry Identity

NPI1821319971
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS GAVIN MCFADENCredential: M.D.
Location Address1 W LAKESHORE DR, SUITE 100Birmingham, AL 35209-0500
Mailing Address1 W Lakeshore Dr, Ste 100Birmingham, AL 35209-7271 · (205) 930-2950 · Fax (205) 930-2957
Fax(205) 930-2957
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateJune 11, 2010
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1821319971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · MD.31606
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 W LAKESHORE DR, Birmingham, AL 35209

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

Thomas Gavin Mcfaden 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 ID8820238918
PECOS Enrollment IDI20130715000124
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 17

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.
107 services33 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
67 services13 patients
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody 86769
This procedure checks for antibodies to the COVID-19 virus in your blood. It indicates whether you've had a past infection. The body produces these antibodies while fighting off the virus. It's not a test for current infection.
50 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services21 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
38 services21 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 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
$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.

Other Providers at the Same Location NPPES 6

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

Psychologist
1 W LAKESHORE DR, SUITE 201
BIRMINGHAM, AL 35209
Physician Assistant
1 W LAKESHORE DR
BIRMINGHAM, AL 35209
Psychologist
1 W LAKESHORE DR, SUITE 201
BIRMINGHAM, AL 35209
Physical Therapist
1 W LAKESHORE DR
BIRMINGHAM, AL 35209
Family Medicine
1 W LAKESHORE DR
HOMEWOOD, AL 35209
Pharmacy (Community/Retail Pharmacy)
1 W LAKESHORE DR, SUITE 102
BIRMINGHAM, AL 35209

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 Thomas Mcfaden's NPI number?

The NPI number for Thomas Mcfaden is 1821319971. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Thomas Mcfaden located?

Thomas Mcfaden practices at 1 W Lakeshore Dr Suite 100, Birmingham, AL 35209. The listed phone number is (205) 930-2950.

What is Thomas Mcfaden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Mcfaden enrolled in Medicare?

Yes. Thomas Mcfaden 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 Thomas Mcfaden accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Thomas Mcfaden 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 Thomas Mcfaden was last updated on August 16, 2023. 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.