REGAN M ANDRADE MD
NPI 1851370266
Family Medicine in Fairhope, AL

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
83.19/100
CMS Quality Rating
21875 STATE HIGHWAY 181, FAIRHOPE, AL 36532(251) 928-1442(251) 210-0969 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Regan M Andrade Md NPPES

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

REGAN M ANDRADE MD (NPI 1851370266) is an individual family medicine provider in Fairhope, Alabama, licensed in Alabama (27544) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (1996).

NPPES Registry Identity

NPI1851370266
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameREGAN M ANDRADECredential: MD
Location Address21875 STATE HIGHWAY 181Fairhope, AL 36532-4481
Mailing Address21875 State Highway 181Fairhope, AL 36532-4481 · (251) 928-1442 · Fax (251) 210-0969
Fax(251) 210-0969
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1996
Enumeration DateJanuary 13, 2006
Last NPPES UpdateOctober 8, 2012
NPI 1851370266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in AL · 27544 Licensed in IN · 01054579A
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.
21875 STATE HIGHWAY 181, Fairhope, AL 36532

Other Identifiers 3

Medicare ID-Type Unspecified221600BIN
Medicaid200346320AIN
Medicare UPINH06405

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

Regan M Andrade 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 ID941266696
PECOS Enrollment IDI20070111000593
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 28

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.
743 services318 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
269 services269 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.
125 services94 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.
98 services85 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
93 services41 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
83 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36532 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.

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.

83.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.82
Improvement Activities40
Cost52.22

Reported Quality Measures

Breast Cancer Screening
72%211 patients3/55-star benchmark: 100%
Controlling High Blood Pressure
69%219 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%49 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%866 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%619 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
87%156 patients4/55-star benchmark: 98%
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

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

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 suppliers11 claims12 services$89.55 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 3

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

Nurse Practitioner (Family)
21875 STATE HIGHWAY 181
FAIRHOPE, AL 36532
Nurse Practitioner (Family)
21875 STATE HIGHWAY 181
FAIRHOPE, AL 36532
Family Medicine
21875 STATE HIGHWAY 181
FAIRHOPE, AL 36532

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 Regan Andrade's NPI number?

The NPI number for Regan Andrade is 1851370266. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Regan Andrade located?

Regan Andrade practices at 21875 State Highway 181, Fairhope, AL 36532. The listed phone number is (251) 928-1442.

What is Regan Andrade's specialty?

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

Is Regan Andrade enrolled in Medicare?

Yes. Regan Andrade 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 Regan Andrade accept?

Health plans from Blue Cross and Blue Shield of Alabama list Regan Andrade 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 Regan Andrade was last updated on October 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.