Stephanie Lee Spain , CRNP
Nurse Practitioner โข Birmingham, AL
619 19th Street South
Birmingham, AL 35233
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Stephanie Spain is listed in NPPES under Nurse Practitioner.
-
NPI assigned on June 26, 2006; this date does not establish years in practice.
-
Published CMS data list 684 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 203 service units.
- 99214 โ Established patient outpatient office visit: 183 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 69 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 2,827 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Carbidopa-Levodopa (Carbidopa/Levodopa) โ 748 prescription fills, including refills.
- Carbidopa-Levodopa Er (Carbidopa/Levodopa) โ 312 prescription fills, including refills.
- Ropinirole Er (Ropinirole Hcl) โ 124 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 37 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Birmingham, AL (2024, 112 clinicians with data). Median for this group: 222. Middle half: 80 to 478.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Alabama (2024, 617 clinicians with data). Median for this group: 315. Middle half: 104 to 760.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 610 in 2020 to 684 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
619 19th Street South
Birmingham, AL 35233
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Birmingham, AL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: University Of Alabama Health Services Foundation, Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2000
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
257 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $32,965 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $23,843 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
6,654 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,004,776 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Stephanie Spain has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Stephanie Spain as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Birmingham and Alabama
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Birmingham, AL (2024, 112 clinicians with data). Median for this group: 222. Middle half: 80 to 478.
More Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Alabama (2024, 617 clinicians with data). Median for this group: 315. Middle half: 104 to 760.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Birmingham, AL (2024, 112 clinicians with data). Median for this group: $13,131. Middle half: $5,910 to $26,938.
A higher Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Alabama (2024, 617 clinicians with data). Median for this group: $17,726. Middle half: $7,445 to $39,421.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Birmingham, AL (2024, 112 clinicians with data). Median for this group: $10,162. Middle half: $4,559 to $19,051.
A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Alabama (2024, 617 clinicians with data). Median for this group: $13,101. Middle half: $5,251 to $28,358.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Birmingham, AL (2024, 118 clinicians with data). Median for this group: 365. Middle half: 136 to 1,117.
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Alabama (2024, 717 clinicians with data). Median for this group: 408. Middle half: 124 to 1,523.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Birmingham, AL (2024, 118 clinicians with data). Median for this group: $23,145. Middle half: $2,675 to $192,472.
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Alabama (2024, 717 clinicians with data). Median for this group: $33,147. Middle half: $2,162 to $192,667.
302 active clinicians are listed under Nurse Practitioner with a practice address in Birmingham, AL (1,442 in Alabama).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Birmingham
10.6% of these 302 clinicians have the CMS telehealth indicator.
55% of these 302 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 12% from 610 in 2020 to 684 in 2024.
- 2020: 610
- 2021: 468
- 2022: 511
- 2023: 339
- 2024: 684
-
Medicare-allowed amount
Medicare-allowed amount varied from year to year: $30,680 in 2020 and $32,965 in 2024.
- 2020: $30,680
- 2021: $30,636
- 2022: $33,489
- 2023: $26,155
- 2024: $32,965
-
Paid by Medicare
Paid by Medicare varied from year to year: $22,190 in 2020 and $23,843 in 2024.
- 2020: $22,190
- 2021: $20,470
- 2022: $24,186
- 2023: $17,866
- 2024: $23,843
-
Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 2,924 in 2020 and 2,827 in 2024.
- 2020: 2,924
- 2021: 2,931
- 2022: 2,563
- 2023: 2,353
- 2024: 2,827
-
30-day fills
30-day fills stayed about the same: 6,405 in 2020 and 6,654 in 2024.
- 2020: 6,405
- 2021: 6,479
- 2022: 5,954
- 2023: 5,643
- 2024: 6,654
-
Part D drug cost
Part D drug cost increased 18% from $854,189 in 2020 to $1,004,776 in 2024.
- 2020: $854,189
- 2021: $691,140
- 2022: $564,156
- 2023: $540,844
- 2024: $1,004,776
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
203 | 181 | $35.00 | $12.87 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
183 | 155 | $246.00 | $75.68 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
69 | 54 | $35.00 | $12.85 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
61 | 55 | $349.00 | $111.72 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
60 | 51 | $246.00 | $97.70 |
|
95970
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator
|
41 | 36 | $179.00 | $14.08 |
|
95984
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional
|
36 | 15 | $89.00 | $33.10 |
|
95983
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional
|
31 | 25 | $102.00 | $37.76 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Carbidopa-Levodopa | Carbidopa/Levodopa | 748 | 55,888 | $51,234.01 | 237 |
| Carbidopa-Levodopa Er | Carbidopa/Levodopa | 312 | 24,201 | $14,124.43 | 102 |
| Ropinirole Er | Ropinirole Hcl | 124 | 9,510 | $25,477.26 | 33 |
| Carbidopa-Levodopa-Entacapone | Carbidopa/Levodopa/Entacapone | 123 | 6,483 | $52,792.49 | 22 |
| Amantadine | Amantadine Hcl | 108 | 8,220 | $8,700.52 | 32 |
| Nuplazid | Pimavanserin Tartrate | 105 | 3,570 | $557,431.31 | 19 |
| Ropinirole Hcl | Ropinirole Hcl | 104 | 7,235 | $3,863.26 | 27 |
| Rasagiline Mesylate | Rasagiline Mesylate | 96 | 8,176 | $45,796.27 | 32 |
| Escitalopram Oxalate | Escitalopram Oxalate | 90 | 7,439 | $1,499.00 | 31 |
| Citalopram Hbr | Citalopram Hydrobromide | 86 | 6,840 | $515.79 | 25 |
| Donepezil Hcl | Donepezil Hcl | 86 | 6,935 | $1,176.54 | 36 |
| Pramipexole Dihydrochloride | Pramipexole Di-Hcl | 84 | 5,840 | $1,773.29 | 28 |
| Primidone | Primidone | 80 | 6,280 | $2,992.51 | 28 |
| Entacapone | Entacapone | 77 | 5,167 | $27,194.56 | 29 |
| Trazodone Hcl | Trazodone Hcl | 58 | 4,630 | $495.03 | 22 |
| Quetiapine Fumarate | Quetiapine Fumarate | 56 | 3,838 | $1,016.27 | 22 |
| Mirtazapine | Mirtazapine | 46 | 2,935 | $1,536.70 | 14 |
| Rivastigmine | Rivastigmine Tartrate | 43 | 2,935 | $2,875.87 | 14 |
| Rivastigmine | Rivastigmine | 40 | 2,220 | $12,603.81 | 12 |
| Rytary | Carbidopa/Levodopa | 31 | 1,495 | $46,232.84 | โ |
| Sertraline Hcl | Sertraline Hcl | 30 | 2,130 | $409.13 | 11 |
| Propranolol Hcl Er | Propranolol Hcl | 26 | 2,280 | $2,033.79 | 12 |
| Midodrine Hcl | Midodrine Hcl | 25 | 753 | $1,081.23 | โ |
| Neupro | Rotigotine | 25 | 1,710 | $45,826.63 | โ |
| Bupropion Xl | Bupropion Hcl | 24 | 2,100 | $410.91 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-01-14NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20040226001084
AL
6901792746
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
University Of Alabama Health Services Foundation, Pc
2000 6th Ave S, Birmingham, AL 352332110
Phone: 2059379999
University Of Alabama Health Services Foundation, Pc
619 19th St S, Birmingham, AL 352491900
Phone: 2059344011
Secondary Practice Locations
2000 6th Ave S
Birmingham, AL 352332110
Phone: 2059340683
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Otolaryngology
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Radiology - Radiation Oncology
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as STEPHANIE SPAIN, CRNP
NPI status registered as active in NPPES database
Registered at 619 19TH STREET SOUTH, BIRMINGHAM, AL 35233 (Tel: 2059346600)
Registered at PO BOX 55310, BIRMINGHAM, AL 352555310 (Tel: 2057319701)
Recorded as STEPHANIE GUTHRIE, CRNP
Nurse Practitioner (license number reported to NPPES: AL 1-074535)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Birmingham
- Robin Ostberg, CRNP
- Wesley Faught, CRNP
- Mia Parker
- Kathleen Zachow
- Andrew Sullivan
- Robert Greaud, ARNP, NP-C
Mailing Address
Po Box 55310
Birmingham, AL 352555310
Phone: 2057319701