Ricky Brian Tubbs, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO1004 Issued in AL

Practice address

2215 Decatur Hwy Ste 101
Gardendale, AL 35071-2384

Phone

(205) 608-8199

Fax

(205) 608-8195

NPI assigned

Jan 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Anesthesiology

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cullman Pain and Wellness LLCGroup PAC ID 1052724713, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.19 of 100Reported as group

Quality

58.18

Improvement activities

40

Cost

76.12

Merit-based Incentive Payment System (MIPS)

Final score

82.48 of 100Reported as group

Quality

66.85

Improvement activities

40

Cost

75.58

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

State licenses

Practice roles

Locations

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

• Cullman Pain and Wellness LLC

  • Pain Medicine (Anesthesiology) Physician
  • Cullman, AL
  • NPI 1528673621
  Medicare reassignment Care Compare group NPD Authorized official
• Gardendale Pain and Wellness, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Gardendale, AL
  • NPI 1316459746
  Medicare reassignment NPD Authorized official
• Cullman Pain and Wellness LLC

  • Pain Medicine (Anesthesiology) Physician
  • Cullman, AL
  • NPI 1629667837
  NPD Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1184800971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 DECATUR HWY STE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712384",
            "telephone_number": "205-608-8199",
            "fax_number": "205-608-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 DECATUR HWY STE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712384",
            "telephone_number": "205-608-8199",
            "fax_number": "205-608-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "RICKY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A9639",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "1004",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO1004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176152",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "10205I7957",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.