Individual provider Active NPI

Marc Alan Michelson, M.D.

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1720081961
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7455 Issued in AL
Practice address
1201 11TH Ave S
Ste 501
Birmingham, AL 35205-3423
Phone
(205) 930-0930
Fax
(205) 930-9050
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7455 AL Primary

Addresses

Primary practice location

1201 11TH Ave S
Ste 501
Birmingham, AL 35205-3423

Mailing address

1201 11TH Ave S
Ste 501
Birmingham, AL 35205-3423
Phone (205) 930-0930

Other identifiers 7

IdentifierTypeStateIssuer
000051072MedicaidAL
180037822OtherALMEDICARE TRAVELERS
510-51072MICOtherALBLUE CROSS BLUE SHIELD
0810046OtherALUNITED HEALTHCARE
0488291OtherALUMWA
180037822OtherALPALMETTO GBA-MEDICARE
C75218OtherALVIVA

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
I20100315000586 AL Practitioner - Ophthalmology 7012942436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Eye and Cataract Center PCGroup PAC ID 0941235360, 2 clinicians

Practice addresses (Care Compare)

1201 11TH Ave S
Suite 501
Birmingham, AL 35205-3423

1201 11TH S Ave
Suite 501
Birmingham, AL 35205-3410
Phone (205) 930-0930

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
95.02
Improvement activities
40
Cost
75.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7455ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Eye & Cataract Center PC CurrentSince Dec 1, 1999 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince Jul 24, 2022 Accepting new patients

Locations

1201 11th Ave S
Ste 501
Birmingham, AL 35205
Phone (205) 930-0930

1201 11th Ave S
#501
Birmingham, AL 35205
Phone (205) 930-0930

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720081961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S",
            "address_2": "STE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053423",
            "telephone_number": "205-930-0930",
            "fax_number": "205-930-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S",
            "address_2": "STE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053423",
            "telephone_number": "205-930-0930",
            "fax_number": "205-930-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "MARC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "7455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051072",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "180037822",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-51072MIC",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0810046",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0488291",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-MEDICARE",
            "identifier": "180037822",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "C75218",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.