DR. TY K STANSELL MD
NPI 1972580645
Family Medicine in Anniston, AL

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
88.09/100
CMS Quality Rating
400 E 8TH ST, ANNISTON, AL 36207(256) 237-8527(256) 237-0208 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ty K Stansell Md NPPES

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

DR. TY K STANSELL MD (NPI 1972580645) is an individual family medicine provider in Anniston, Alabama, licensed in Alabama (16717) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1991).

NPPES Registry Identity

NPI1972580645
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TY K STANSELLCredential: MD
Location Address400 E 8TH STAnniston, AL 36207-5754
Mailing AddressPo Box 700Anniston, AL 36202-0700 · (256) 237-8527 · Fax (256) 237-0208
Fax(256) 237-0208
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1991
Enumeration DateDecember 23, 2005
Last NPPES UpdateFebruary 3, 2010
NPI 1972580645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 16717
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 E 8TH ST, Anniston, AL 36207

Other Identifiers 4

Other051077427AL · Bcbs
Medicare ID-Type Unspecified000077427AL
Medicaid000077427AL
Medicare UPINF33012

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

Dr. Ty K Stansell 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 ID1850354119
PECOS Enrollment IDI20100902000468
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 17

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.
643 services305 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
564 services331 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
240 services88 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
187 services187 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
185 services185 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
173 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36207 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.

88.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.08
Promoting Interoperability94
Improvement Activities40
Cost77.24

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%337 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
43%51 patients2/55-star benchmark: 100%
Breast Cancer Screening
32%319 patients2/55-star benchmark: 93%
Cervical Cancer Screening
10%214 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
0%20 patients
Closing the Referral Loop: Receipt of Specialist Report
48%291 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
40%685 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
88%727 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
32%248 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%248 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%3,435 patients4/55-star benchmark: 100%
e-Prescribing
99%3,871 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
24%684 patients1/55-star benchmark: 100%
HIV Screening
1%526 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%1,134 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
11%709 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%661 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 997 patients
Patients screened: 99% · 997 patients
32%145 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
57%759 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%587 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 7% · 676 patients
Patients totalRate: 32% · 712 patients
29%712 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers69 claims165 services$5.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers35 claims53 services$1.03 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers12 claims23 services$1.46 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims31 services$18.43 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims20 services$6.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers73 claims78 services$99.31 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 5

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

Family Medicine
400 E 8TH ST
ANNISTON, AL 36207
Nurse Practitioner (Family)
400 E 8TH ST
ANNISTON, AL 36207
Preferred Provider Organization
400 E 8TH ST
ANNISTON, AL 36207
Nurse Practitioner
400 E 8TH ST
ANNISTON, AL 36207
Family Medicine
400 E 8TH ST
ANNISTON, AL 36207

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 Ty Stansell's NPI number?

The NPI number for Ty Stansell is 1972580645. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Ty Stansell located?

Ty Stansell practices at 400 E 8th St, Anniston, AL 36207. The listed phone number is (256) 237-8527.

What is Ty Stansell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ty Stansell enrolled in Medicare?

Yes. Ty Stansell 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 Ty Stansell 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 Ty Stansell 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 Ty Stansell was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.