Dr. James Ronald Hirsch , MD
Neurological Surgery • Mobile, AL
6701 Airport Blvd Ste D146
Mobile, AL 366086701
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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Dr. James Hirsch is listed in NPPES under Neurological Surgery.
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NPI assigned on November 4, 2005; this date does not establish years in practice.
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Published CMS data list 300 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 126 service units.
- 22853 — Insertion of cage or mesh device to spine bone and disc space during spine fusion: 42 service units.
- 99215 — Established patient outpatient office visit: 41 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 7 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 166 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cyclobenzaprine Hcl — 79 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 76 prescription fills, including refills.
- Gabapentin — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. 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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More Medicare Part B services than 60% of clinicians listed under Neurological Surgery in Mobile, AL (2024, 17 clinicians with data). Median for this group: 176. Middle half: 88 to 355.
Close to the middle for Medicare Part B services among clinicians listed under Neurological Surgery in Alabama (2024, 73 clinicians with data). Median for this group: 322. Middle half: 150 to 578.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 685 in 2020 to 300 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
6701 Airport Blvd Ste D146
Mobile, AL 366086701
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Coastal Neurological Institute 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
Medical College Of Wisconsin
1992
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
132 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 – by Provider, 2024.
Medicare-allowed amount
About $67,347 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 – by Provider and Service, 2024.
Paid by Medicare
About $53,359 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 – by Provider and Service, 2024.
30-day fills
168 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
$1,747 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $96.85 across 4 records.
By nature of payment
- Food and Beverage: $96.85 across 4 records.
Reporting-company totals
- UCB, Inc.: $41.12 across 2 records.
- Eisai Inc.: $34.09 across 1 record.
- EMD Serono, Inc.: $21.64 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 2025 (published June 30, 2026).
Years since graduation
34 years (graduated 1992)
CMS Doctors and Clinicians data list 1992 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
2005
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, “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.
Enrolled in Medicare (PECOS)
Dr. Hirsch 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 Dr. Hirsch 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 Mobile and Alabama
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Neurological Surgery in Mobile, AL (2024, 17 clinicians with data). Median for this group: 176. Middle half: 88 to 355.
Close to the middle for clinicians listed under Neurological Surgery in Alabama (2024, 73 clinicians with data). Median for this group: 322. Middle half: 150 to 578.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Neurological Surgery in Mobile, AL (2024, 17 clinicians with data). Median for this group: $21,127. Middle half: $12,334 to $67,347.
A higher Medicare-allowed amount than 60% of clinicians listed under Neurological Surgery in Alabama (2024, 73 clinicians with data). Median for this group: $50,719. Middle half: $20,206 to $106,251.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Neurological Surgery in Mobile, AL (2024, 17 clinicians with data). Median for this group: $15,689. Middle half: $8,994 to $53,359.
A higher Medicare payment amount than 60% of clinicians listed under Neurological Surgery in Alabama (2024, 73 clinicians with data). Median for this group: $39,385. Middle half: $15,412 to $82,799.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Neurological Surgery in Mobile, AL (2024, 13 clinicians with data). Median for this group: 166. Middle half: 46 to 254.
Close to the middle for clinicians listed under Neurological Surgery in Alabama (2024, 68 clinicians with data). Median for this group: 190. Middle half: 54 to 423.
Part D drug cost
Close to the middle for clinicians listed under Neurological Surgery in Mobile, AL (2024, 13 clinicians with data). Median for this group: $1,747. Middle half: $262 to $3,589.
Close to the middle for clinicians listed under Neurological Surgery in Alabama (2024, 68 clinicians with data). Median for this group: $2,111. Middle half: $811 to $3,858.
21 active clinicians are listed under Neurological Surgery with a practice address in Mobile, AL (107 in Alabama).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Mobile
9.5% of these 21 clinicians have the CMS telehealth indicator.
81% of these 21 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 56% from 685 in 2020 to 300 in 2024.
- 2020: 685
- 2021: 506
- 2022: 557
- 2023: 422
- 2024: 300
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Medicare-allowed amount
Medicare-allowed amount decreased 53% from $143,275 in 2020 to $67,347 in 2024.
- 2020: $143,275
- 2021: $74,169
- 2022: $98,596
- 2023: $58,128
- 2024: $67,347
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Paid by Medicare
Paid by Medicare decreased 53% from $113,215 in 2020 to $53,359 in 2024.
- 2020: $113,215
- 2021: $57,302
- 2022: $77,177
- 2023: $45,021
- 2024: $53,359
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 28% from 231 in 2020 to 166 in 2024.
- 2020: 231
- 2021: 167
- 2022: 253
- 2023: 137
- 2024: 166
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30-day fills
30-day fills decreased 34% from 255 in 2020 to 168 in 2024.
- 2020: 255
- 2021: 169
- 2022: 261
- 2023: 137
- 2024: 168
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Part D drug cost
Part D drug cost decreased 40% from $2,907 in 2020 to $1,747 in 2024.
- 2020: $2,907
- 2021: $1,754
- 2022: $3,188
- 2023: $1,307
- 2024: $1,747
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $112.93 in 2021 to $96.85 in 2025.
- 2021: $112.93
- 2022: $21.81
- 2023: $186.29
- 2024: $301.39
- 2025: $96.85
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), 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 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $96.85.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Eisai Inc. |
Food and Beverage
In-kind items and services
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Leqembi | General | $34.09 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Fintepla | General | $21.88 |
| EMD Serono, Inc. |
Food and Beverage
Cash or cash equivalent
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— | General | $21.64 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Rystiggo | General | $19.24 |
Source: CMS Open Payments, program year 2025, 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 2016–2023 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, 2017–2024; 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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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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126 | 75 | $150.00 | $114.88 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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42 | 25 | $2309.00 | $205.16 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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41 | 33 | $188.00 | $160.50 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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35 | 35 | $212.00 | $151.45 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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29 | 29 | $270.00 | $199.60 |
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22551
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
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14 | 14 | $9061.00 | $1396.41 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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13 | 13 | $5000.00 | $541.24 |
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 |
|---|---|---|---|---|---|
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 79 | 1,458 | $587.22 | 43 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 76 | 505 | $1,006.38 | 72 |
| Gabapentin | Gabapentin | 11 | 390 | $153.02 | — |
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
NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20150402001241
AL
8123115284
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
Coastal Neurological Institute Pc
3280 Dauphin St, Mobile, AL 366064060
Phone: 2514503700
Coastal Neurological Institute Pc
3280 Dauphin St A, Mobile, AL 366064060
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Medical
Physician Assistant
Neurological Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 6701 AIRPORT BLVD STE D146, MOBILE, AL 366086701 (Tel: 2512872176)
Neurological Surgery (license number reported to NPPES: AL 33723)
NPI status registered as active in NPPES database
Registered at 6701 AIRPORT BLVD, STE D146, MOBILE, AL 366086701 (Tel: 2512872176)
Registered at 1130 N CHURCH ST, SUITE 200, GREENSBORO, NC 274011038 (Tel: 3362724578)
Recorded as JAMES HIRSCH, MD
Neurological Surgery (license number reported to NPPES: NC 9800274)
NPI status registered as active in NPPES database
Registered at 1130 N CHURCH ST, SUITE 200, GREENSBORO, NC 274011038 (Tel: 3362724578)
Registered at 225 BALDWIN AVE, CHARLOTTE, NC 282043109 (Tel: 7043761605)
Recorded as JAMES HIRSCH, MD
Neurological Surgery (license number reported to NPPES: NC 9800274)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Neurological Surgery Specialists in Mobile
- Dr. John Amburgy, MD
- Dr. Donald Tyler, MD
- Nidal Omar
- Lauren Rotman
- Dr. Jai Thakur, MD
- Dr. William Scott, MD
Mailing Address
6701 Airport Blvd, Ste D146
Mobile, AL 366086701
Phone: 2512872176