Individual provider Active NPI

Jeffrey Ross Cusmariu, MD

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1104894021
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
21127 Issued in AL
Practice address
2700 10TH Ave S Ste 200
Birmingham, AL 35205-1248
Phone
(059) 337-8382
Fax
(205) 876-8063
NPI assigned
Mar 8, 2006
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD21127 AL
Orthopaedic Surgery Physician 207X00000X 21127 AL Primary

Addresses

Primary practice location

2700 10TH Ave S Ste 200
Birmingham, AL 35205-1248

Mailing address

2700 10TH Ave S Ste 200
Birmingham, AL 35205-1248
Phone (205) 259-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005001196 AL Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 5294794350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Duke University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincent's Orthopedics, PCGroup PAC ID 5294637252, 15 clinicians
STV Orthopedic Surgeons LLCGroup PAC ID 8224313614, 15 clinicians

Practice addresses (Care Compare)

2217 Decatur Hwy
Gardendale, AL 35071-2301
Phone (205) 933-7838

2700 10TH Ave S
Suite 200
Birmingham, AL 35205-1248
Phone (205) 933-7838

805 Saint Vincents Dr
Birmingham, AL 35205-1636
Phone (205) 939-3699

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.8 of 100Reported as group
Quality
22.97
Promoting interoperability
23
Improvement activities
40
Cost
67.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21127ALMDOrthopaedic Surgery Physician
MD21127ALMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uab STV Orthopedics, LLC Orthopaedic Surgery CurrentSince Dec 1, 2016 Accepting new patients
St. Vincent's Orthopedics, PC CurrentSince Dec 1, 2016 Accepting new patients
Orthopaedic Specialists of Alabama, PC Orthopaedic Surgery Past Accepting new patients
Orthopaedic Specialists of Alabama PC Orthopaedic Surgery Past Accepting new patients

Locations

2700 10th Ave S
Ste 200
Birmingham, AL 35205
Phone (205) 938-7838

805 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 212-6491

2217 Decatur Hwy
Gardendale, AL 35071
Phone (205) 418-1200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1104894021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051248",
            "telephone_number": "205-259-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051248",
            "telephone_number": "059-337-8382",
            "fax_number": "205-876-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSMARIU",
        "first_name": "JEFFREY",
        "middle_name": "ROSS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "MD21127",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "21127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.