Active NPI 1235166240 Individual Practitioner Female Practitioner

Stephanie Lee Spain , CRNP

Nurse Practitioner • Birmingham, AL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Stephanie Spain, CRNP is a certified Nurse Practitioner practicing in Birmingham, AL. With approximately 26 years of clinical experience since completing medical education in 2000, Stephanie Spain delivers high-quality medical care to the local community at 619 19TH STREET SOUTH.

Stephanie Spain is affiliated with University Of Alabama Health Services Foundation, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, electronic analysis of implanted brain, spinal cord or peripheral stimulation device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

619 19th Street South

Birmingham, AL 35233

Telephone 2059346600

Associated Practice Facility / Clinic

🏢 University Of Alabama Health Services Foundation, Pc. Facility NPI 1093768723

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Birmingham, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +16.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

311 Specialists

Practicing in Birmingham, AL (1475 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spain (26 Years) 26 Yrs

Birmingham Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	203	181	$35.00	$12.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	155	$246.00	$75.68
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	69	54	$35.00	$12.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	55	$349.00	$111.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	51	$246.00	$97.70
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	41	36	$179.00	$14.08
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	36	15	$89.00	$33.09
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	31	25	$102.00	$37.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	130	$246.00	$77.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	69	$349.00	$113.27
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	43	39	$179.00	$14.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$246.00	$77.86
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	23	21	$102.00	$39.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$349.00	$114.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	144	$246.00	$81.34
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	129	25	$89.00	$36.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	56	$349.00	$120.93
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	51	43	$179.00	$15.60
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	49	37	$102.00	$41.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$246.00	$78.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$349.00	$120.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	185	$246.00	$83.14
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	111	28	$89.00	$37.15
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	46	37	$102.00	$42.04
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	43	38	$179.00	$15.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	41	$349.00	$122.52
99443 Telephone medical discussion with physician, 21-30 minutes	16	15	$215.00	$83.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	184	$246.00	$65.83
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	160	35	$89.00	$37.20
99443 Telephone medical discussion with physician, 21-30 minutes	63	59	$144.43	$66.03
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	53	41	$102.00	$42.22
99442 Telephone medical discussion with physician, 11-20 minutes	39	37	$77.77	$42.74
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$161.00	$42.75
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	27	27	$179.00	$15.80
99441 Telephone medical discussion with physician, 5-10 minutes	16	16	$34.00	$21.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	201	$246.00	$64.18
95984 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional	91	29	$89.00	$35.96
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	61	50	$179.00	$15.23
95983 Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional	47	36	$102.00	$40.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$349.00	$90.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	199	$246.00	$63.28
95978 Electronic analysis and programming of implanted complex deep brain neurostimulator generator system, first hour	56	43	$625.00	$154.94
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	52	44	$179.00	$19.51
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$161.00	$41.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	266	$246.00	$63.37
95978 Electronic analysis and programming of implanted complex deep brain neurostimulator generator system, first hour	101	66	$625.00	$154.71
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	96	73	$179.00	$19.56
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$161.00	$40.96
L8681 Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only	17	17	$2125.00	$1074.83

Medical Specialties & State Licenses

CMS Verified: 2024-01-14

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1-074535

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

891007310 (AL)

Commercial Insurance / Payer ID Railroad Medicare

P00229662 (AL)

Commercial Insurance / Payer ID Blue Cross

051519478 (AL)

Hospital & Practice Group Affiliations

University Of Alabama Health Services Foundation, Pc

2000 6th Ave S, Birmingham, AL 352332110

Phone: 2059379999

University Of Alabama Health Services Foundation, Pc

619 19th St S, Birmingham, AL 352491900

Phone: 2059344011

Secondary Practice Locations

2000 6th Ave S

Birmingham, AL 352332110

Phone: 2059340683

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Rayford Thweatt

Psychiatry & Neurology - Psychiatry

NPI 1003826512

Amy Pribyl

Social Worker - Clinical

NPI 1003829243

Dr. Walter Oakes , MD

Neurological Surgery

NPI 1003846791

Doctor of Medicine (M.D.)

Dr. Marla Morgan , MD

Psychiatry & Neurology - Neurology

NPI 1003848821

Doctor of Medicine (M.D.)

Dr. Ali Ahmed , MD

Internal Medicine - Geriatric Medicine

NPI 1003856600

Doctor of Medicine (M.D.)

Dr. Jeroan Allison , MD

Internal Medicine

NPI 1003860016

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated January 14, 2024

Recorded as STEPHANIE SPAIN, CRNP

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 619 19TH STREET SOUTH, BIRMINGHAM, AL 35233 (Tel: 2059346600)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 55310, BIRMINGHAM, AL 352555310 (Tel: 2057319701)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHANIE GUTHRIE, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #1-074535 in AL)

🟢

Initial NPI Registration & Enumeration June 26, 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: 1235166240

Entity Type:

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

Enumeration Date: June 26, 2006

Last Update: January 14, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 55310

Birmingham, AL 352555310

Phone: 2057319701

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.