Active NPI 1841390879 Individual Practitioner Male Practitioner

Dr. Robert Carson Cain , MD

Internal Medicine • Birmingham, AL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Cain, MD is a registered healthcare professional specializing in Internal Medicine in Birmingham, AL. Practice services are available at 5381 1ST AVENUE, NORTH under active NPI credentials.

Frequently performed procedures and clinical services include urinalysis, manual test, established patient outpatient office visit, blood glucose (sugar) test performed by hand-held instrument. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5381 1st Avenue, North

Birmingham, AL 352122401

Telephone 2055922561

Fax 2055957641

Associated Practice Facility / Clinic

🏢 Robert C. Cain, M.d., Llc Facility NPI 1447872999

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Birmingham, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.1 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

501 Specialists

Practicing in Birmingham, AL (1784 Statewide)

Telehealth Adoption Rate

16.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	24	17	$13.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$95.00	$84.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	76	32	$13.03	$3.44
99213 Established patient office or other outpatient visit, typically 15 minutes	65	29	$95.00	$86.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	25	$180.00	$172.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	19	$130.00	$121.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	124	45	$13.00	$3.48
99213 Established patient office or other outpatient visit, typically 15 minutes	117	49	$95.00	$87.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	31	$180.00	$173.86
82962 Blood glucose (sugar) test performed by hand-held instrument	28	14	$15.00	$3.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	16	$130.00	$124.17
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$70.00	$14.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	177	55	$13.00	$3.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	161	15	$204.97	$100.96
99213 Established patient office or other outpatient visit, typically 15 minutes	141	58	$95.00	$70.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	42	$180.00	$138.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	25	$129.30	$102.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	14	$300.00	$196.12
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$70.00	$15.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	223	71	$13.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	166	62	$95.00	$68.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	57	$178.80	$135.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	32	$130.00	$101.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	11	$200.00	$98.30
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$70.00	$15.58
82270 Stool analysis for blood to screen for colon tumors	16	16	$13.38	$4.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	11	$300.00	$191.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	64	$94.99	$63.97
81002 Urinalysis, manual test	119	62	$13.72	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	40	$129.74	$94.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	55	$194.08	$128.06
93000 Routine ekg using at least 12 leads including interpretation and report	34	33	$70.00	$14.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$234.67	$182.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	199	78	$12.99	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	187	77	$81.00	$63.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	48	$120.00	$94.40
82947 Blood glucose (sugar) level	71	26	$15.00	$4.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	47	$162.00	$128.31
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$67.00	$14.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$231.00	$182.81
99354 Prolonged office or other outpatient service first hour	17	12	$135.00	$116.25

Medical Specialties & State Licenses

CMS Verified: 2020-03-03

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 8238

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License AL AL8238

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000007977 (AL)

Commercial Insurance / Payer ID Blue Cross

51007977 (AL)

Commercial Insurance / Payer ID United Health

0410630 (AL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location March 03, 2020

Registered at 5381 1ST AVENUE, NORTH, BIRMINGHAM, AL 352122401 (Tel: 2055922561)

📍

Updated Business Mailing Address March 03, 2020

Registered at 5381 1ST AVENUE, NORTH, BIRMINGHAM, AL 352122401 (Tel: 2055922561)

👤

Provider Name / Credentials Updated March 03, 2020

Recorded as ROBERT CAIN, M.D.

✅

NPI Profile Active November 11, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2010

Registered at 5381 1ST AVENUE NORTH, BIRMINGHAM, AL 35212 (Tel: 2055922561)

📍

Updated Business Mailing Address November 11, 2010

Registered at PO BOX 320156, BIRMINGHAM, AL 352320156 (Tel: 2055922561)

👤

Provider Name / Credentials Updated November 11, 2010

Recorded as ROBERT CAIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2010

Internal Medicine (License #AL8238 in AL)

🟢

Initial NPI Registration & Enumeration September 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841390879

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2006

Last Update: March 03, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5381 1st Avenue, North

Birmingham, AL 352122401

Phone: 2055922561

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.