KATHERINE FLANAGAN (MD) – Dermatology Physician, NPI 1104092675

KATHERINE FLANAGAN (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 23903 (AL). The NPI Number for KATHERINE FLANAGAN (MD) is 1104092675

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE FLANAGAN (MD)
NPI
1104092675
Phone
(205) 578-1799
Address
813 SHADES CREEK PKWY
Enumeration Date
5 May 2008
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
2055781799
Graduation Year
1999 (27 years ago)
PAC ID
1456376680
Group Practice PAC ID
4688966302
Professional Enrollment ID
I20110803000004
Address ID
AL352094512BI813XXPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

207 DERMATOLOGY in AL

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Provider Addresses for KATHERINE FLANAGAN (MD)

  • Shades Creek, Irondale, Jefferson County, Alabama, 35142, United States

    SUITE 205

    BIRMINGHAM, AL 352094542

    Phone: (205) 578-1799

    Fax: (205) 578-3158

    Type: Location

  • 1600 5TH AVE S

    JASPER, AL 355014658

    Phone: (205) 578-1799

    Type: Mailing

  • 1360 Montgomery Hwy Ste 114

    Vestavia Hills, AL 352162750

    Phone: (205) 578-1799

    Type: Location

  • 813 SHADES CREEK PKWY STE 205

    BIRMINGHAM, AL 352094512

    Phone: (205) 578-1799

    Fax: (205) 578-3158

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,004.

Total Amount is formed as General ($1,004) + Research ($0) + Ownership ($0) = $1,004.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($357).

Total Amount

$1,004

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,004

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110803000004IDermatologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes544385$0
17003Destruction of precancer skin growth, 2-14 growths410125$0
17000Destruction of precancer skin growth, 1 growth252197$0
17110Destruction of skin growth, 1-14 growths247206$0
11102Biopsy of related skin growth, first growth241195$0
View full utilization report →

Insurance plans in this area (ZIP 35209)

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Provider's Procedures

KATHERINE FLANAGAN (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYAL17003Destruction of 2-14 skin growths478142

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688966302View full group profile
NameSpecialtyState
Physician AssistantAL

Reviews

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Frequently asked questions

Is there an official ID for KATHERINE FLANAGAN (MD) in U.S. healthcare records?
The official identifier for KATHERINE FLANAGAN (MD) is NPI 1104092675.
Is KATHERINE FLANAGAN (MD) shown as active in public data?
Registry records indicate KATHERINE FLANAGAN (MD) maintains an active NPI.
How would a patient describe KATHERINE FLANAGAN (MD)'s focus?
For KATHERINE FLANAGAN (MD), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is KATHERINE FLANAGAN (MD) associated with Birmingham?
Public fields place KATHERINE FLANAGAN (MD) around Birmingham, Alabama. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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