Active NPI 1609020866 Individual Practitioner Male Practitioner

Dr. John M. Cantrell , DO

Internal Medicine • Gardendale, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Cantrell, DO is a certified Internal Medicine practicing in Gardendale, AL. With approximately 19 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2007, Dr. Cantrell delivers high-quality medical care to the local community at 2217 DECATUR HWY.

Dr. Cantrell is affiliated with Hospital Medicine Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2217 Decatur Hwy
Suite 131

Gardendale, AL 350712301

Telephone 2054181200

Fax 2054181271

Associated Practice Facility / Clinic

🏢 North Jefferson Imaging, Llc Facility NPI 1467490920

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gardendale, AL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -10.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

11 Specialists

Practicing in Gardendale, AL (1784 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cantrell (19 Years) 19 Yrs

Gardendale Specialty Average (29.5 Years) 29.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	278	121	$278.50	$71.97
99239 Hospital discharge day management, more than 30 minutes	101	99	$411.83	$104.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	42	$398.81	$108.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$774.22	$158.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$525.00	$118.85
99238 Hospital discharge day management, 30 minutes or less	11	11	$279.00	$73.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	276	114	$265.33	$74.32
99239 Hospital discharge day management, more than 30 minutes	104	103	$392.15	$107.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	44	$381.05	$112.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	51	$736.73	$163.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$500.00	$122.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	72	$362.91	$97.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	50	$253.36	$68.14
99239 Hospital discharge day management, more than 30 minutes	49	49	$373.55	$99.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$705.73	$189.04
99220 Hospital observation care, typically 70 minutes	14	14	$642.86	$171.43
99217 Hospital observation care on day of discharge	11	11	$255.36	$67.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	151	62	$286.00	$99.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	43	$201.00	$69.38
99239 Hospital discharge day management, more than 30 minutes	42	41	$295.00	$102.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$555.00	$193.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	138	74	$272.30	$100.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	52	$191.11	$70.10
99239 Hospital discharge day management, more than 30 minutes	56	56	$281.00	$101.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$530.93	$195.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	272	110	$259.62	$99.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	79	$182.37	$69.63
99239 Hospital discharge day management, more than 30 minutes	96	93	$268.41	$102.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	67	$504.37	$193.57
99217 Hospital observation care on day of discharge	29	29	$182.62	$69.66
99220 Hospital observation care, typically 70 minutes	27	27	$464.85	$177.80
99238 Hospital discharge day management, 30 minutes or less	12	12	$182.00	$69.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	324	133	$134.85	$68.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	239	101	$245.76	$98.15
99239 Hospital discharge day management, more than 30 minutes	94	92	$239.45	$100.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	86	$421.24	$191.72
99238 Hospital discharge day management, 30 minutes or less	47	47	$137.17	$68.92
99217 Hospital observation care on day of discharge	25	25	$155.72	$67.37
99220 Hospital observation care, typically 70 minutes	22	22	$391.45	$176.65
99225 Subsequent observation care, typically 25 minutes per day	14	11	$125.79	$66.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	750	226	$98.00	$67.67
99238 Hospital discharge day management, 30 minutes or less	109	106	$99.00	$66.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$275.00	$186.25
99225 Subsequent observation care, typically 25 minutes per day	37	26	$99.00	$69.09
99217 Hospital observation care on day of discharge	33	33	$98.00	$68.64
99239 Hospital discharge day management, more than 30 minutes	32	32	$145.00	$98.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	20	$142.00	$98.75
99220 Hospital observation care, typically 70 minutes	19	19	$253.00	$176.17
99291 Critical care, first 30-74 minutes	12	12	$369.00	$211.36

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL DO1085

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1609020866 (AL)

Commercial Insurance / Payer ID Caqh

1215687 (AL)

Commercial Insurance / Payer ID Blue Cross Blue Sheild Of Alabama

51106462 (AL)

Hospital & Practice Group Affiliations

Hospital Medicine Associates Llc

810 Saint Vincents Dr, Birmingham, AL 352051601

Phone: 2059397000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Melissa Toner , MD

Internal Medicine

NPI 1154374841

Doctor of Medicine (M.D.)

Dr. Nolan Hudson , MD

Internal Medicine

NPI 1154376416

Doctor of Medicine (M.D.)

Dr. William Howell , MD

Internal Medicine

NPI 1174577084

Doctor of Medicine (M.D.)

Dr. Sirisha Chada , MD

Family Medicine

NPI 1184061699

Doctor of Medicine (M.D.)

Jeffrey Terrell , PT

Physical Therapist

NPI 1205880119

Physical Therapist

Dr. John Nichols , MD

Internal Medicine

NPI 1316992670

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2013

Registered at 2217 DECATUR HWY, SUITE 131, GARDENDALE, AL 350712301 (Tel: 2054181200)

📍

Updated Business Mailing Address December 05, 2013

Registered at 2217 DECATUR HWY, SUITE 131, GARDENDALE, AL 350712301 (Tel: 2054181200)

👤

Provider Name / Credentials Updated December 05, 2013

Recorded as JOHN CANTRELL, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2013

Internal Medicine (License #DO1085 in AL)

🟢

Initial NPI Registration & Enumeration November 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. John Cantrell. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609020866

Entity Type:

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

Enumeration Date: November 13, 2008

Last Update: December 05, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2217 Decatur Hwy, Suite 131

Gardendale, AL 350712301

Phone: 2054181200

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.