ROBERT HAYNE HOLLIS IV M.D.
NPI 1396001004
Surgery in Birmingham, AL
Quality Rating: 73.26 out of 100 score
NPI Status: Active since April 06, 2012
- Individual
- Male
- Years of Experience 14
- Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROBERT HOLLIS
This page provides the complete NPI Profile along with additional information for Robert Hollis, a provider established in Birmingham, Alabama with a medical specialization in Surgery and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1396001004 assigned on April 2012. The practitioner's primary taxonomy code is 208600000X with license number 32685 (AL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1396001004
- Provider Name
- ROBERT HAYNE HOLLIS IV M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 619 19TH ST S BIRMINGHAM, AL 35249
- Location Phone
- (205) 934-3065
- Mailing Address
- 619 19TH ST S BIRMINGHAM, AL 35249
- Mailing Phone
- (205) 934-3065
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-06-2012
- Last Update Date
- 01-03-2024
- Code Navigator
A surgeon like Robert Hollis treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 32685
- License State
- AL
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Saver Silver EPO - EPO
- Blue Standardized Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Robert Hollis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Robert Hollis 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
PECOS PAC ID: 9335399419
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20200406003246
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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.
Orthotic Devices
DME-Orthotic Devices (DF010N)
Skin barrier; solid, 4 x 4 or equivalent; each (HCPCS:A4362)
3 DME suppliers used 13 Medicare Claims 380 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, powder, per oz (HCPCS:A4371)
3 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce (HCPCS:A4394)
4 DME suppliers used 19 Medicare Claims 304 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy skin barrier, pectin-based, paste, per ounce (HCPCS:A4406)
3 DME suppliers used 12 Medicare Claims 46 Services Paid
DME-Orthotic Devices (DF010N)
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each (HCPCS:A5056)
3 DME suppliers used 25 Medicare Claims 520 Services Paid
DME-Orthotic Devices (DF010N)
Skin barrier, wipes or swabs, each (HCPCS:A5120)
2 DME suppliers used 14 Medicare Claims 375 Services Paid
Durable Medical Equipment
DME-Medical/Surgical Supplies (DA000N)
Adhesive remover, wipes, any type, each (HCPCS:A4456)
2 DME suppliers used 12 Medicare Claims 345 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Colonoscopy
Diagnostic exam of lower portion of large bowel using a flexible endoscope
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 20-29 minutes
Melanoma (skin cancer) excision
New patient office or other outpatient visit, 45-59 minutes
Upper gastrointestinal (GI) endoscopy for acid reflux
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
This service was performed for 51 patientsThis procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
This service was performed 13 times for 11 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 12 times for 11 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 28 times for 19 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 18 times for 15 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 15 times for 15 patientsAn upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
This service was performed for 1-10 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.47 for a new patient copayment and $16.52 for an established patient copayment.
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 35249 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.9
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $20.47
- 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 99213
- Average Established Patient Price $66.08
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $16.52
- 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.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 73.26, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 73.26 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 57.67
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 53.19
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 53.19
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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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 | 3 | 9 | 6 | 0 | 0 | 1 | 0 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 18 | 6 | 0 | 0 | 2 | 0 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 8 + 6 + 0 + 0 + 2 + 0 + 0 + 24 = 46 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 46 = 4 | 4 |
The NPI number 1396001004 is valid because the calculated check digit 4 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 |
---|---|---|---|
1205838505 | MS. PEGGY CALHOUN WILSON RPH Individual | Pharmacist | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 975-9780 |
1760481238 | DR. TOMIE ANN BOACKLE PHARM.D. Individual | Pharmacist | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 801-8732 |
1326037136 | DR. MARK W TODD PHARM.D. Individual | Pharmacist | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-7890 |
1871561688 | PETER D WAITE DDS, MD Individual | Dentist (Oral and Maxillofacial Surgery) | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-4011 |
1225007172 | JILL K BILLIONS MD Individual | Internal Medicine (Addiction Medicine) | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1841251766 | FRED LONG GRIFFIN MD Individual | Psychiatry & Neurology (Psychiatry) | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1184685166 | MS. JANE C DAVIS LCSW Individual | Social Worker | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1548211618 | ALAN S GERTLER MD Individual | Internal Medicine (Cardiovascular Disease) | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1659322592 | OMER REFIK OZERDEM MD Individual | Plastic Surgery | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1841241601 | EDWARD E PARTRIDGE JR. MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1255382008 | DR. OMAR I MASSOUD MD Individual | Internal Medicine (Gastroenterology) | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-4011 |
1124070461 | BETHANY SURREY MARTINEZ OD Individual | Optometrist | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1952355364 | JEAN-FRANCOIS PITTET MD Individual | Anesthesiology | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-4011 |
1770530776 | JEREMY GOODMAN MD Individual | Transplant Surgery | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-4011 |
1356382519 | VICKI P CARLISLE MD Individual | Internal Medicine | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1891736054 | JOHN T CARPENTER JR. MD Individual | Internal Medicine (Hematology & Oncology) | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1073554705 | INGRID DEANETTE OAKLEY CRNA Individual | Nurse Anesthetist, Certified Registered | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-4011 |
1497797575 | EDWARD A CHILDS MD Individual | Internal Medicine | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
1962444257 | URSULA WESSELMANN M.D. Individual | Anesthesiology | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-4011 |
1588607295 | WILLIAM J COOK MD Individual | Pathology (Anatomic Pathology) | 619 19TH ST S BIRMINGHAM, AL 35249 (205) 934-6600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396001004, enumerated in the NPI registry as an "individual" on April 06, 2012
The provider is located at 619 19th St S Birmingham, Al 35249 and the phone number is (205) 934-3065
The provider's speciality is Surgery with taxonomy code 208600000X
The provider has more than 14 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. 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.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $81.9 with an average copayment of $20.47 for new patient appointments. Established patients should expect a typical charge of $66.08 and an average copayment of 16.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Colonoscopy, Diagnostic exam of lower portion of large bowel using a flexible endoscope, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 20-29 minutes, Melanoma (skin cancer) excision, New patient office or other outpatient visit, 45-59 minutes and Upper gastrointestinal (GI) endoscopy for acid reflux.
This NPI record was last updated on April 06, 2012. 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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