ANDREW GAINES HARRELL M.D.
NPI 1992739882
Surgery in Tuscaloosa, AL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
79.32/100
CMS Quality Rating
1031 FAIRFAX PARK, TUSCALOOSA, AL 35406(205) 345-2211(205) 345-2220 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Gaines Harrell M.d. NPPES

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

ANDREW GAINES HARRELL M.D. (NPI 1992739882) is an individual surgery provider in Tuscaloosa, Alabama, licensed in Alabama (00027428) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1999).

NPPES Registry Identity

NPI1992739882
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDREW GAINES HARRELLCredential: M.D.
Location Address1031 FAIRFAX PARKTuscaloosa, AL 35406-2807
Mailing Address1031 Fairfax ParkTuscaloosa, AL 35406-2807 · (205) 345-2211 · Fax (205) 345-2220
Fax(205) 345-2220
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1999
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 9, 2019
NPI 1992739882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AL · 00027428
Definition
A 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.
1031 FAIRFAX PARK, Tuscaloosa, AL 35406

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

Andrew Gaines Harrell 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 ID3173509510
PECOS Enrollment IDI20061002000246
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 10

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.

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046
This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.
178 services12 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
95 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services42 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
34 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 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.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35406 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.

79.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.32
Promoting Interoperability92
Improvement Activities40
Cost70.42

Referred Medical Equipment & Supplies CMS DME claims 4

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims372 services$6.78 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims2,010 services$0.04 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
3 suppliers18 claims137 services$21.85 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
3 suppliers23 claims118 services$7.30 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 10

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

Surgery
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406
Surgery
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406
Surgery
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406
Surgery
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406
Surgery
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406
Surgery
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406
Surgery
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406
Surgery
1031 FAIRFAX PARK
TUSCALOOSA, AL 35406

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 Andrew Harrell's NPI number?

The NPI number for Andrew Harrell is 1992739882. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Andrew Harrell located?

Andrew Harrell practices at 1031 Fairfax Park, Tuscaloosa, AL 35406. The listed phone number is (205) 345-2211.

What is Andrew Harrell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrew Harrell enrolled in Medicare?

Yes. Andrew Harrell 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 Andrew Harrell 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 1 other insurer list Andrew Harrell 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 Andrew Harrell was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.