HALLER JACKSON SMITH (M.D.) – Gynecologic Oncology Physician, NPI 1104183938
Gynecologic Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
587 OBSTETRICS/GYNECOLOGY in AL
Provider Addresses for HALLER JACKSON SMITH (M.D.)
619 19th St S
Birmingham, AL 352331900
Phone: (205) 996-4662
Fax: (205) 996-2886
Type: Location
619 19TH ST S
BIRMINGHAM, AL 352491900
Phone: (205) 934-7872
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: CooperSurgical, Inc. ($32).
Total Amount
$109
General + Research + Ownership
Payments
6
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperSurgical, Inc. | $32 |
| Lilly USA, LLC | $23 |
| AstraZeneca Pharmaceuticals LP | $20 |
| Genentech USA, Inc. | $20 |
| Janssen Biotech, Inc. | $14 |
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: 2019-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160216000625 | I | Obstetrics/Gynecology | AL | TBD |
| I20191212002306 | I | Gynecological Oncology | MS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 128 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 61 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 29 | 29 | $0 |
| 58571 | Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less | 12 | 12 | $0 |
Insurance plans in this area (ZIP 35233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| Gynecological Oncology, Obstetrics/Gynecology | AL | |
| - | MS | |
| Clinical Social Worker | MS | |
| - | TN | |
| Nurse Practitioner | MS | |
| Certified Registered Nurse Anesthetist (Crna) | MS |
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