Active NPI 1871530766 Individual Practitioner Male Practitioner

Dr. Alan L Billsby , DO

Surgery • Sheffield, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alan Billsby, DO is a certified Surgery practicing in Sheffield, AL. With approximately 41 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1985, Dr. Billsby delivers high-quality medical care to the local community at 342 COX BLVD.

Dr. Billsby maintains professional affiliations with Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc., York Hospital, Public Hospital District No 2 Skagit County Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof 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

342 Cox Blvd

Sheffield, AL 356604020

Telephone 2563834473

Fax 2563815232

Associated Practice Facility / Clinic

🏢 A Lynn Ridgeway Md Pc Facility NPI 1639237340

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sheffield, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +18.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Sheffield, AL (471 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Billsby (41 Years) 41 Yrs

Sheffield Specialty Average (23.0 Years) 23.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$218.00	$75.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$251.45	$151.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	57	$75.00	$50.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$145.00	$118.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	33	$150.00	$112.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$601.00	$89.13
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$802.00	$170.47
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$107.69	$83.32
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$800.00	$139.16

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	84	73	$150.00	$96.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	68	$147.66	$121.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$250.00	$159.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	63	$75.00	$52.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	36	$600.00	$94.78
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$800.00	$176.42
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$800.00	$184.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$900.00	$244.33

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	111	99	$129.50	$99.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	89	$139.45	$122.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	85	$52.37	$50.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$185.00	$161.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	59	57	$600.00	$83.50
45378 Diagnostic exam of large bowel using a flexible endoscope	40	40	$800.00	$178.04
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$800.00	$178.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$900.00	$232.61
45380 Biopsy of large bowel using an endoscope	13	12	$900.00	$181.77

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	133	115	$126.13	$103.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	96	$50.00	$42.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	107	97	$125.00	$101.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$175.00	$155.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	63	63	$600.00	$92.19
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$800.00	$182.23
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	20	19	$800.00	$169.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$900.00	$250.50
45380 Biopsy of large bowel using an endoscope	13	13	$900.00	$196.62

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	150	128	$125.00	$94.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	147	111	$50.00	$39.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$175.00	$146.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	104	$126.79	$96.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	90	86	$600.00	$87.45
45378 Diagnostic exam of large bowel using a flexible endoscope	44	44	$800.00	$169.63
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	39	38	$800.00	$149.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	28	$900.00	$230.78
45380 Biopsy of large bowel using an endoscope	13	13	$900.00	$160.32
G0104 Colorectal cancer screening; flexible sigmoidoscopy	13	13	$800.00	$46.80

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	198	173	$125.00	$96.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	122	$50.00	$39.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$175.00	$149.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	118	$126.10	$98.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	106	101	$600.00	$93.61
45378 Diagnostic exam of large bowel using a flexible endoscope	73	72	$800.00	$172.91
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	38	38	$800.00	$154.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$900.00	$237.05
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$75.00	$66.47
11042 Removal of skin and tissue, 20.0 sq cm or less	14	12	$400.00	$57.26
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$400.00	$91.05

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	199	172	$125.00	$92.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$175.00	$143.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	188	157	$50.00	$37.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	131	$129.01	$94.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	126	121	$600.00	$79.42
45378 Diagnostic exam of large bowel using a flexible endoscope	93	91	$800.00	$169.07
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	48	48	$800.00	$176.30
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$75.00	$64.18
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	21	20	$400.00	$90.99
11042 Removal of skin and tissue, 20.0 sq cm or less	20	16	$400.00	$50.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$900.00	$232.83
45380 Biopsy of large bowel using an endoscope	17	17	$900.00	$183.50
80053 Blood test, comprehensive group of blood chemicals	13	13	$28.00	$14.20
G0104 Colorectal cancer screening; flexible sigmoidoscopy	13	13	$800.00	$46.13
36415 Insertion of needle into vein for collection of blood sample	12	12	$6.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$16.00	$10.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL DO.1239

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Shoals Primary Care, Llc

1326373861 (AL)

Hospital & Practice Group Affiliations

Public Hospital District No 2 Skagit County Washington

1211 24th St, Anacortes, WA 982212562

Phone: 3602991350

Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc.

2251 N Shore Dr, Rhinelander, WI 545016710

Phone: 7153612000

York Hospital

16 Hospital Dr, York, ME 039091011

Phone: 2073512118

Practice Associates & Co-Workers

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

36 Associated Practitioners

Abbey Oliver , CRNP

Nurse Practitioner

NPI 1033500517

Certified Registered Nurse Practitioner

Mary Higgins , FNP-C

Nurse Practitioner - Family

NPI 1073485132

Family Nurse Practitioner (Certified)

Amy Barnett , CRNP

Nurse Practitioner - Family

NPI 1114542560

Certified Registered Nurse Practitioner

Dr. George Evans , MD

Family Medicine

NPI 1124073788

Doctor of Medicine (M.D.)

Hannah Hale , CRNP

Nurse Practitioner - Family

NPI 1164752382

Certified Registered Nurse Practitioner

Anita Mcdonald , CRNP

Nurse Practitioner - Family

NPI 1225208861

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 07, 2014

Registered at 342 COX BLVD, SHEFFIELD, AL 356604020 (Tel: 2563834473)

📍

Updated Business Mailing Address April 07, 2014

Registered at 342 COX BLVD, SHEFFIELD, AL 356604020 (Tel: 2563834473)

👤

Provider Name / Credentials Updated April 07, 2014

Recorded as ALAN BILLSBY, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2014

Surgery (License #DO.1239 in AL)

🟢

Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871530766

Entity Type:

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

Enumeration Date: June 01, 2006

Last Update: April 07, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

342 Cox Blvd

Sheffield, AL 356604020

Phone: 2563834473

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.