DR. DAVID W COSGROVE MD
NPI 1952361735
Anesthesiology - Pain Medicine in Cullman, AL

NPI Status: Active since March 24, 2006

Contact Information

1912 AL HIGHWAY 157
CULLMAN, AL
ZIP 35058
Phone: (256) 737-2639
Fax: (256) 737-2849

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  • Individual
  • Male
  • Years of Experience 34
  • Anesthesiology
  • Pain Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About DAVID COSGROVE

This page provides the complete NPI Profile along with additional information for David Cosgrove, a provider established in Cullman, Alabama with a medical specialization in Anesthesiology, focusing in pain medicine and more than 34 years of experience. He graduated from Louisiana State University School Of Medicine In New Orleans in 1992. The healthcare provider is registered in the NPI registry with number 1952361735 assigned on March 2006. The practitioner's primary taxonomy code is 207LP2900X with license number MD.19927 (AL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1952361735
Provider Name
DR. DAVID W COSGROVE MD
Gender
Male
Entity Type
Individual
Location Address
1912 AL HIGHWAY 157 CULLMAN, AL 35058
Location Phone
(256) 737-2639
Location Fax
(256) 737-2849
Mailing Address
PO BOX 661495 BIRMINGHAM, AL 35266
Mailing Phone
(205) 979-5882
Mailing Fax
(256) 737-2849
Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
03-24-2006
Last Update Date
05-06-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
MD.19927
License State
AL
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

AL19927 (AL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Saver Silver EPO - EPO
  • Blue Standardized Silver EPO - EPO
  • Blue Standardized Statewide Silver EPO - EPO
  • Blue Statewide Silver EPO - EPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Gold Classic Standard - EPO
  • Gold Simple - EPO
  • Silver Classic Standard - EPO
  • Silver Simple - EPO
  • Silver Simple Chronic Care CKM - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
529804180MEDICAID (05)AL 
000078440MEDICAID (05)AL 
51078440OTHER (01)ALBLUE CROSS PROV #

Medicare Participation & PECOS Enrollment Status

David Cosgrove is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

David Cosgrove is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7214993153

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050802000227

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for exam of colon using an endoscope

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

This service was performed 21 times for 21 patients

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 49 times for 47 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 16 times for 16 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 13 times for 13 patients

Anesthesia for other procedure on skin of arms, legs, and front body

Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.

This service was performed 11 times for 11 patients

Anesthesia for procedure on small and large bowel using an endoscope

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

This service was performed 18 times for 18 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 14 times for 13 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 25 times for 24 patients

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Tobacco useYesN/A
Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co-occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1952361735, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 0 + 2 + 6 + 6 + 2 + 7 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1952361735.

Other Providers at the Same Location


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

Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Emergency Medicine
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Emergency Medicine
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Physician Assistant (Medical)
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Anesthetist, Certified Registered
1912 AL HIGHWAY 157, ANESTHESIA DEPT
CULLMAN, AL 35058
Anesthesiology
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Nurse Practitioner (Acute Care)
1912 AL HIGHWAY 157
CULLMAN, AL 35058
General Acute Care Hospital
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Physician Assistant
1912 AL HIGHWAY 157
CULLMAN, AL 35058
Dietitian, Registered
1912 AL HIGHWAY 157
CULLMAN, AL 35058

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952361735, enumerated as an "individual" on March 24, 2006.

The provider is located at 1912 AL HIGHWAY 157 CULLMAN, AL 35058 and the phone number is (256) 737-2639.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Oscar. Please consult your insurance carrier or call the provider to verify.