ALAN L BILLSBY DO NPI 1871530766

Surgery in Sheffield, AL

NPI 1871530766 Individual Male Years of Experience 37 Surgery PECOS Enrolled Accepts Medicare Approved Payment

About ALAN BILLSBY

Alan Billsby is a provider established in Sheffield, Alabama and his medical specialization is surgery with more than 37 years of experience. The NPI number of Alan Billsby is 1871530766 and was assigned on June 2006. The practitioner's primary taxonomy code is 208600000X with license number DO.1239 (AL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

A surgeon like Alan L Billsby Do treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Alan Billsby is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Alan Billsby is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Helen Keller Hospital and Shoals Hospital.

NPI

1871530766

Provider Name ALAN L BILLSBY DO
Provider Location Address342 COX BLVD SHEFFIELD, AL 35660
Provider Mailing Address342 COX BLVD SHEFFIELD, AL 35660
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1985
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-01-2006
Last Update Date04-07-2014


Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.DO.1239
License StateAL
Taxonomy DescriptionA 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.

Business Address

ALAN L BILLSBY DO
342 COX BLVD
SHEFFIELD, AL
ZIP 35660
Phone: (256) 383-4473
Fax: (256) 381-5232

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Mailing Address

ALAN L BILLSBY DO
342 COX BLVD
SHEFFIELD, AL
ZIP 35660
Phone: (256) 383-4473
Fax: (256) 381-5232



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID345216172
PECOS Enrollment IDI20120423000616
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 86Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 29Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 26Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 18Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 18Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 16Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • 14Biopsy of large bowel using an endoscope (HCPCS:45380)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alan Billsby is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HELEN KELLER HOSPITAL1300 SOUTH MONTGOMERY AVENUE
SHEFFIELD, AL 35660
(256) 386-4556Acute Care Hospitals10019
SHOALS HOSPITAL201 WEST AVALON AVENUE
MUSCLE SHOALS, AL 35661
(256) 386-1601Acute Care Hospitals10157

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E75173MEDICARE UPIN (02)
1326373861OTHER (01)AL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326013558DR. A LYNN RIDGEWAY MD
Individual
Specialist342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1639237340A LYNN RIDGEWAY MD PC
Organization
Specialist342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1447332119 MARK LOCKE HODGES CRNP
Individual
Nurse Practitioner (Adult Health)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1922355312 JONATHAN SCOGIN CRNP
Individual
Nurse Practitioner (Acute Care)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1265428031DR. AARON W KARR D.O.
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1730128414DR. FRANCIS G GILLIS M.D.
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1942549860 MATTHEW ALEXANDER MONTGOMERY CRNP
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1629059175 GREGG DELGADO D.O.
Individual
Radiology (Diagnostic Radiology)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1245276070 DARIN KIM BOWLING DO
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1952734162 MELODY LEIGH SMITH CRNP
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1578981353 RACHEL ANN MILLER CRNP
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1124073788DR. GEORGE A EVANS M.D.
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1396765095DR. PAUL MORRIS D.O.
Individual
Internal Medicine (Cardiovascular Disease)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1801213301MRS. KRISTINE ELIZABETH MOLLOHAN NP-C
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1285732016 BRAD M GINEVAN MD
Individual
Family Medicine342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1942245808 PAOLA F TUMMINELLO MD
Individual
Psychiatry & Neurology (Neurology)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1033500517 ABBEY COOPER CRNP
Individual
Nurse Practitioner342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1932651478 MISTY MAXWELL CRNP
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1275061806 BAYLEE SMITH CORSBIE CRNP
Individual
Nurse Practitioner (Adult Health)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473
1619364791 KELLI ROBERSON NP-C
Individual
Nurse Practitioner (Family)342 COX BLVD
SHEFFIELD, AL 35660
(256) 383-4473

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.