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DR. JOHN EUGENE SONGER M.D.
NPI 1922188564
Orthopaedic Surgery in Cullman, AL

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1800 AL HIGHWAY 157, SUITE 100, CULLMAN, AL 35058(256) 736-5505(256) 736-5551 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2018, Mar 13, 2018 (2 updates tracked since 2018).

About Dr. John Eugene Songer M.d. NPPES

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

DR. JOHN EUGENE SONGER M.D. (NPI 1922188564) is an individual orthopaedic surgery provider in Cullman, Alabama, licensed in Alabama (13890) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Harris Regional Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1982).

NPPES Registry Identity

NPI1922188564
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN EUGENE SONGERCredential: M.D.
Location Address1800 AL HIGHWAY 157, SUITE 100Cullman, AL 35058-1271
Mailing Address503 Clark St NeCullman, AL 35055-1921 · (256) 739-0801 · Fax (256) 739-0027
Phone(256) 736-5505
Fax(256) 736-5551
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1982
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 27, 20182 updates tracked since enumeration
✔ NPI 1922188564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AL · 13890
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1800 AL HIGHWAY 157, Cullman, AL 35058
Open in Google Maps ↗

Other Identifiers 2

Medicaid117993AL
Medicaid1598717381AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Dr. John Eugene Songer 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 ID7810947389
PECOS Enrollment IDI20190117001156
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 8

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 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.
190 services149 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
142 services104 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
35 services31 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
31 services24 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
25 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340016
Location68 Hospital RdSylva, NC 28779 · Jackson County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35058 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
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.

Other Providers at the Same Location NPPES 19

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

DEBRA W MORRISON RDN
Dietitian, Registered
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 739-4131
JOHN R GOBER M.D.
Family Medicine
1800 AL HIGHWAY 157, SUITE 101
CULLMAN, AL 35058
Cullman County (256) 739-4131
TAMMY CORNELIUS CRNP
Nurse Practitioner (Primary Care)
1800 AL HIGHWAY 157, SUITE 101
CULLMAN, AL 35058
Cullman County (256) 734-1012
KARA LYN MOORE CRNP
Nurse Practitioner (Neonatal, Critical Care)
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075
BETHANY BLANTON LAMAR CRNP
Nurse Practitioner (Family)
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075
JOHN R MORGAN M.D.
Family Medicine
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075
CHRISTOPHER H DODD M.D.
Pediatrics
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075
DR. CARLOS VILLAR-GOSALVEZ M.D.
Family Medicine
1800 AL HIGHWAY 157
CULLMAN, AL 35058
Cullman County (256) 735-5075

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 John Songer's NPI number?

The NPI number for John Songer is 1922188564. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is John Songer located?

John Songer practices at 1800 Al Highway 157 Suite 100, Cullman, AL 35058. The listed phone number is (256) 736-5505.

What is John Songer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Songer enrolled in Medicare?

Yes. John Songer 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 John Songer accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list John Songer 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.

Is John Songer affiliated with any hospitals?

According to CMS data, John Songer is affiliated with Harris Regional Hospital and Haywood Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Songer was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.