PAOLA F TUMMINELLO MD
NPI 1942245808
Psychiatry & Neurology - Neurology in Sheffield, AL

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
81.03/100
CMS Quality Rating
342 COX BLVD, SHEFFIELD, AL 35660(256) 383-4473(256) 381-5232 Get Directions Write a Review

NPPES record last updated: December 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paola F Tumminello Md NPPES

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

PAOLA F TUMMINELLO MD (NPI 1942245808) is an individual neurology provider in Sheffield, Alabama, licensed in Florida (ME109086) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1942245808
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePAOLA F TUMMINELLOCredential: MD
Location Address342 COX BLVDSheffield, AL 35660-4020
Mailing AddressPo Box 2587Muscle Shoals, AL 35662-2587 · (256) 383-4473 · Fax (256) 381-5232
Fax(256) 381-5232
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 17, 2006
Last NPPES UpdateDecember 19, 2014
NPI 1942245808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in FL · ME109086 Licensed in SC · 21967
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

342 COX BLVD, Sheffield, AL 35660

Other Identifiers 1

Other1326373861AL · Shoals Primary Care, Llc

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

Paola F Tumminello 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 ID4587611298
PECOS Enrollment IDI20131031000498
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 11

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, 30-39 minutes 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.
188 services138 patients
Initial hospital inpatient care per day, typically 50 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.
95 services92 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
66 services64 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
48 services45 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
48 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35660 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
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.

81.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.68
Promoting Interoperability100
Improvement Activities40
Cost66.08

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$19.95 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 20

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

Specialist
342 COX BLVD
SHEFFIELD, AL 35660
Nurse Practitioner (Adult Health)
342 COX BLVD
SHEFFIELD, AL 35660
Nurse Practitioner (Acute Care)
342 COX BLVD
SHEFFIELD, AL 35660
Family Medicine
342 COX BLVD
SHEFFIELD, AL 35660
Family Medicine
342 COX BLVD
SHEFFIELD, AL 35660
Nurse Practitioner (Family)
342 COX BLVD
SHEFFIELD, AL 35660
Radiology (Diagnostic Radiology)
342 COX BLVD
SHEFFIELD, AL 35660
Family Medicine
342 COX BLVD
SHEFFIELD, AL 35660

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 Paola Tumminello's NPI number?

The NPI number for Paola Tumminello is 1942245808. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Paola Tumminello located?

Paola Tumminello practices at 342 Cox Blvd, Sheffield, AL 35660. The listed phone number is (256) 383-4473.

What is Paola Tumminello's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paola Tumminello enrolled in Medicare?

Yes. Paola Tumminello 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 Paola Tumminello accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Paola Tumminello 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 Paola Tumminello was last updated on December 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.