DR. DAVID NELSON RHYNE MD
NPI 1285627109
Internal Medicine in Enterprise, AL
NPI Status: Active since August 25, 2005
Contact Information
101 E BRUNSON ST
SUITE 200
ENTERPRISE, AL
ZIP 36330
Phone: (334) 393-3686
Fax: (334) 347-4906
- Individual
- Male
- Internal Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About DAVID RHYNE
This page provides the complete NPI Profile along with additional information for David Rhyne, an internist established in Enterprise, Alabama with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1285627109 assigned on August 2005. The practitioner's primary taxonomy code is 207R00000X with license number 9765 (AL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1285627109
- Provider Name
- DR. DAVID NELSON RHYNE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330
- Location Phone
- (334) 393-3686
- Location Fax
- (334) 347-4906
- Mailing Address
- 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330
- Mailing Phone
- (334) 393-3686
- Mailing Fax
- (334) 347-4906
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2005
- Last Update Date
- 11-20-2009
- Code Navigator
An internist like David Rhyne is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 9765
- License State
- AL
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
C73969 | MEDICARE UPIN (02) | AL | |
000036205 | MEDICAID (05) | AL | |
51036205 | OTHER (01) | AL | BCBS OF ALABAMA |
000036205 | MEDICARE ID-TYPE UNSPECIFIED (04) | AL | MEDICARE PROVIDER NUMBER |
Medicare Participation & PECOS Enrollment Status
David Rhyne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 36330 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.31
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $30.57
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.72
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $23.43
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Breast Cancer Screening | 71% | 458 |
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
Colorectal Cancer Screening | 74% | 977 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
Diabetes: Eye Exam | 61% | 362 |
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
Falls: Screening for Future Fall Risk | 86% | 1050 |
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
Pneumococcal Vaccination Status for Older Adults | 77% | 1061 |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
Provide Education Opportunities for New Clinicians | Yes | N/A |
MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas. |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 6 | 2 | 7 | 1 | 0 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 12 | 2 | 14 | 1 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 1 + 2 + 2 + 1 + 4 + 1 + 0 + 24 = 51 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 51 = 9 | 9 |
The NPI number 1285627109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1972596849 | DR. GARY G. ALLEN M.D, Individual | Internal Medicine | 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330 (334) 393-3686 |
1356335681 | DR. WILLIAM DANIEL SAWYER MD Individual | Surgery | 101 E BRUNSON ST STE 300 ENTERPRISE, AL 36330 (334) 393-3212 |
1679567341 | DR. PETER ANTHONY VENEZIANO DO Individual | Internal Medicine | 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330 (334) 393-3686 |
1104808237 | DR. JAMES DUNBAR POLLARD M.D. Individual | Obstetrics & Gynecology | 101 E BRUNSON ST SUITE 310 ENTERPRISE, AL 36330 (334) 393-0737 |
1144202284 | DR. WARREN R BANACH M.D. Individual | Obstetrics & Gynecology | 101 E BRUNSON ST SUITE 310 ENTERPRISE, AL 36330 (334) 393-0737 |
1316929466 | DR. BRADLEY KENT HEIM M.D. Individual | Obstetrics & Gynecology | 101 E BRUNSON ST SUITE 310 ENTERPRISE, AL 36330 (334) 393-0737 |
1205891702 | BEVERLY F JORDAN M.D. Individual | Family Medicine | 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330 (334) 393-3686 |
1437199908 | DR. WILLIAM A GAMMILL DO Individual | Internal Medicine | 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330 (334) 393-3686 |
1639266018 | DANIEL E. GADZALA, M.D. Organization | Specialist | 101 E BRUNSON ST SUITE 110 ENTERPRISE, AL 36330 (334) 347-9355 |
1033357744 | SCOTT A. CHARLTON, MD, PC Organization | Otolaryngology | 101 E BRUNSON ST SUITE 102 ENTERPRISE, AL 36330 (334) 393-2353 |
1275890840 | SCOT C. CALLAHAN, M.D. , P.C. Organization | Otolaryngology | 101 E BRUNSON ST SUITE 100 ENTERPRISE, AL 36330 (334) 393-6673 |
1376883991 | MRS. CANDACE OHM HENDERSON NP Individual | Nurse Practitioner (Family) | 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330 (334) 393-3686 |
1528227220 | MRS. LEEANN MCALILEY KETTUNEN MD Individual | Family Medicine | 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330 (334) 393-3686 |
1578904488 | JUDITH WATERS HOLLOWAY NP-C Individual | Nurse Practitioner (Family) | 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330 (334) 393-3686 |
1255763348 | WILLIAM W. KETTUNEN, M.D. LLC Organization | Surgery | 101 E BRUNSON ST SUITE 110 ENTERPRISE, AL 36330 (334) 347-9355 |
1932587680 | MRS. LAURA DRIGGERS CRNP Individual | Nurse Practitioner (Family) | 101 E BRUNSON ST SUITE 200 ENTERPRISE, AL 36330 (334) 393-3686 |
1225022643 | MR. SAMUEL FLEMING SAWYER MD Individual | Surgery | 101 E BRUNSON ST SUITE 300 ENTERPRISE, AL 36330 (334) 393-3212 |
1437143112 | DR. SHERRY LYNN ROACH MD Individual | Surgery | 101 E BRUNSON ST STE 300 ENTERPRISE, AL 36330 (334) 393-3212 |
1356336838 | SAWYER SURGERY CLINIC LLC Organization | Surgery | 101 E BRUNSON ST SUITE 300 ENTERPRISE, AL 36330 (334) 393-3212 |
1447238951 | DR. SCOTT ASHLEY CHARLTON M.D. Individual | Emergency Medicine | 101 E BRUNSON ST SUITE 102 ENTERPRISE, AL 36330 (334) 308-9368 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285627109, enumerated in the NPI registry as an "individual" on August 25, 2005
The provider is located at 101 E Brunson St Suite 200 Enterprise, Al 36330 and the phone number is (334) 393-3686
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.31 with an average copayment of $30.57 for new patient appointments. Established patients should expect a typical charge of $93.72 and an average copayment of 23.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 25, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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