KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH) – Vascular Neurology Physician, NPI 1316145535

KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH) is a healthcare provider. based in Birmingham, Alabama. specializing in Vascular Neurology Physician. They hold the professional credentials DO, PHD, MPH. They hold a License No. DO.1178 (AL). The NPI Number for KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH) is 1316145535

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH)
NPI
1316145535
Phone
(205) 731-9701
Address
PO BOX 55310
Enumeration Date
10 July 2007
Last Update Date
25 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3154644243
Graduation Year
2005 (21 years ago)
PAC ID
5092904607
Group Practice PAC ID
7214928035
Professional Enrollment ID
I20171212001628
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH)

  • PO BOX 55310

    BIRMINGHAM, AL 352555310

    Phone: (205) 731-9701

    Type: Mailing

  • 2000 6th Ave S

    Birmingham, AL 352332110

    Phone: (205) 801-8000

    Type: Location

  • 750 E Adams St

    Syracuse, NY 132102306

    Phone: (315) 464-5540

    Type: Location

  • Kirklin Clinic, 2000, 6th Avenue South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352332110

    Phone: (205) 801-8000

    Type: Location

  • 90 PRESIDENTIAL PLZ FL 4

    SYRACUSE, NY 132022240

    Phone: (315) 464-4243

    Type: Location

  • 175 ELIZABETH BLACKWELL ST

    SYRACUSE, NY 132102326

    Phone: (315) 464-5302

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-04-17 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-12-12

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
I20171212001628INeurologyNYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5925$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3028$0
99239Hospital discharge day management, more than 30 minutes1312$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 35255)

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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: 7214928035View full group profile
NameSpecialtyState
N E U R O L O G YNY
N E U R O L O G YMA
Neurology, Critical Care (Intensivists)PA
-NY
N E U R O L O G YNY
-NY
Neurology, Pain ManagementNY
N E U R O L O G YNY
N E U R O L O G YNY
N E U R O L O G YMA

Reviews

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Frequently asked questions

What is KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH)'s NPI number?
KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH)'s NPI is 1316145535 — the number used across U.S. healthcare to identify this provider.
Is KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH) still an active registrant?
KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH) carries an active NPI according to the public dataset.
What kind of doctor is KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH)?
KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH) is associated with Vascular Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH)?
Travel planning: use Birmingham, Alabama as the reference point for KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH), then confirm.
Does KAREN CRETSINGER ALBRIGHT (DO, PHD, MPH) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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