Dr. Robert James Sciacca , MD
Otolaryngology • Birmingham, AL
4515 Southlake Parkway, Suite 300
Birmingham, AL 35244
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 4, 2006; this date does not establish years in practice.
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Published CMS data list 399 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 95144 — Professional service for preparation and provision of single-dose vial of allergen: 290 service units.
- 99213 — Established patient outpatient office visit: 30 service units.
- 31231 — Diagnostic exam of nasal passages using an endoscope: 27 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 41 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Published rows only; this is not a quality measure.
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Published Part D records, 2021:
- Montelukast Sodium — 17 prescription fills, including refills.
- Azelastine Hcl — 13 prescription fills, including refills.
- Fluticasone Propionate — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 1,304 in 2017 to 399 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
4515 Southlake Parkway
Suite 300
Birmingham, AL 35244
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Otolaryngology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $15,617 in 2021
The total amount Medicare approved for these services in 2021. 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 – by Provider and Service, 2021.
Paid by Medicare
About $10,277 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, 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 – by Provider and Service, 2021.
30-day fills
93 standardized 30-day fills in 2021
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
$933 in 2021
The total cost of these prescriptions in 2021, 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 – by Provider and Drug, 2021.
Open Payments general payments, program year 2021
All general payments: $111.85 across 7 records.
By nature of payment
- Food and Beverage: $111.85 across 7 records.
Reporting-company totals
- Optinose US, Inc.: $81.33 across 5 records.
- Intersect ENT, Inc.: $17.05 across 1 record.
- BOSTON SCIENTIFIC CORPORATION: $13.47 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Birmingham and Alabama
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Sciacca are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Sciacca are from 2021.
59 active clinicians are listed under Otolaryngology with a practice address in Birmingham, AL (159 in Alabama).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Birmingham
1.7% of these 59 clinicians have the CMS telehealth indicator.
64.4% of these 59 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.
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Medicare Part B services
Medicare Part B services decreased 69% from 1,304 in 2017 to 399 in 2021.
- 2017: 1,304
- 2018: 1,485
- 2019: 1,492
- 2020: 1,042
- 2021: 399
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Medicare-allowed amount
Medicare-allowed amount decreased 78% from $71,182 in 2017 to $15,617 in 2021.
- 2017: $71,182
- 2018: $84,565
- 2019: $76,820
- 2020: $60,366
- 2021: $15,617
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Paid by Medicare
Paid by Medicare decreased 80% from $51,782 in 2017 to $10,277 in 2021.
- 2017: $51,782
- 2018: $60,544
- 2019: $55,138
- 2020: $43,587
- 2021: $10,277
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 86% from 297 in 2017 to 41 in 2021.
- 2017: 297
- 2018: 165
- 2019: 168
- 2020: 134
- 2021: 41
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30-day fills
30-day fills decreased 75% from 370 in 2017 to 93 in 2021.
- 2017: 370
- 2018: 225
- 2019: 224
- 2020: 202
- 2021: 93
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Part D drug cost
Part D drug cost decreased 89% from $8,869 in 2017 to $933 in 2021.
- 2017: $8,869
- 2018: $3,718
- 2019: $9,335
- 2020: $4,473
- 2021: $933
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $449.04 in 2019 to $111.85 in 2021.
- 2019: $449.04
- 2020: $233.51
- 2021: $111.85
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2021), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $111.85.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
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Xhance | General | $21.10 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
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Xhance | General | $19.93 |
| Intersect ENT, Inc. |
Food and Beverage
In-kind items and services
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PROPEL | General | $17.05 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
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Xhance | General | $15.26 |
| BOSTON SCIENTIFIC CORPORATION |
Food and Beverage
In-kind items and services
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WAVEWRITER ALPHA | General | $13.47 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
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Xhance | General | $13.13 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
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Xhance | General | $11.91 |
Source: CMS Open Payments, program year 2021, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 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 – by Provider and Service data, 2017–2021; 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 |
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95144
Professional service for preparation and provision of single-dose vial of allergen
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290 | 17 | $16.85 | $15.12 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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30 | 27 | $101.99 | $87.31 |
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31231
Diagnostic exam of nasal passages using an endoscope
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27 | 16 | $288.05 | $183.88 |
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92504
Exam of ear using a microscope
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26 | 25 | $41.34 | $27.36 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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14 | 14 | $151.40 | $103.34 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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12 | 12 | $151.68 | $124.17 |
Source: CMS Part B by Provider and Service, 2021; 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 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Montelukast Sodium | Montelukast Sodium | 17 | 1,470 | $366.09 | — |
| Azelastine Hcl | Azelastine Hcl | 13 | 785 | $416.94 | — |
| Fluticasone Propionate | Fluticasone Propionate | 11 | 510 | $150.19 | — |
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207Y00000X
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History
NPI enumerated October 04, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Otolaryngology Specialists in Birmingham
- Dr. Stefania Goncalves, MD
- Kirk Withrow
- Dr. Horace Lejeune, MD
- Dr. Charles Colvin, MD
- Dr. Richard Waguespack, MD
- Dr. Patrick Owens, MD
Mailing Address
4515 Southlake Parkway, Suite 300
Birmingham, AL 35244
Phone: 2059857393