1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Emergency Medicine
  6. NPI Profile

JUSTINE ELISE MCGIBONEY M.D.
NPI 1871114637
Emergency Medicine in Birmingham, AL

Active since May 04, 2020PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1717 6TH AVE S # 44A, BIRMINGHAM, AL 35233(205) 975-0826 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2023, Jun 17, 2023, Nov 5, 2022 and 2 more (5 updates tracked since 2020).

About Justine Elise Mcgiboney M.d. NPPES

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

JUSTINE ELISE MCGIBONEY M.D. (NPI 1871114637) is an individual emergency medicine provider in Birmingham, Alabama, licensed in Alabama (MD.45956) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871114637
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJUSTINE ELISE MCGIBONEYCredential: M.D.
Location Address1717 6TH AVE S # 44ABirmingham, AL 35233-1801
Mailing Address1720 2nd Avenue South Src-044aBirmingham, AL 35249-7330 · (205) 975-0826
Phone(205) 975-0826
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 4, 2020
Last NPPES UpdateNovember 27, 20235 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
✔ NPI 1871114637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AL · MD.45956
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Hospice and Palliative MedicineTaxonomy 207PH0002X · License MD.45956 (AL)
1717 6TH AVE S # 44A, Birmingham, AL 35233
Open in Google Maps ↗

Other Names 1

Former Name (1)Justine Elise Miller M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Justine Elise Mcgiboney 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 ID8426479437
PECOS Enrollment IDI20231228002413
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 6

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.

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.
61 services31 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 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.
14 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

DR. GUEI-JIUN ALICE LIOU DO
Student in an Organized Health Care Education/Training Program
1717 6TH AVE S # 44A
BIRMINGHAM, AL 35233
Jefferson County (205) 975-0826
DR. ALEJANDRO EMMANUEL ZAMORA MD
Internal Medicine
1717 6TH AVE S # 44A
BIRMINGHAM, AL 35233
Jefferson County (205) 975-0826
ASHTON ELIZABETH PARIS MD
Emergency Medicine
1717 6TH AVE S # 44A
BIRMINGHAM, AL 35233
Jefferson County (205) 975-0826

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 Justine Mcgiboney's NPI number?

The NPI number for Justine Mcgiboney is 1871114637. It was assigned to this individual provider in the NPPES registry on May 4, 2020. The provider is also known as Justine Elise Miller M.D..

Where is Justine Mcgiboney located?

Justine Mcgiboney practices at 1717 6th Ave S # 44A, Birmingham, AL 35233. The listed phone number is (205) 975-0826.

What is Justine Mcgiboney's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justine Mcgiboney enrolled in Medicare?

Yes. Justine Mcgiboney 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 Justine Mcgiboney accept?

Health plans from Blue Cross and Blue Shield of Alabama list Justine Mcgiboney 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 Justine Mcgiboney was last updated on November 27, 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.