STEPHEN A ENSMINGER (M.D.) – Pulmonary Disease Physician, NPI 1619941705
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
256 PULMONARY DISEASE in AL
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Provider Addresses for STEPHEN A ENSMINGER (M.D.)
1440, Narrow Lane Parkway, Druid Hills, Montgomery, Montgomery County, Alabama, 36111, United States
MONTGOMERY, AL 361112654
Phone: (334) 281-4140
Fax: (334) 281-4198
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $1,908.
Total Amount is formed as General ($1,908) + Research ($0) + Ownership ($0) = $1,908.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($559).
Total Amount
$1,908
General + Research + Ownership
Payments
90
Total payment records
General Amount
$1,908
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $559 |
| Insmed, Inc. | $244 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $168 |
| AstraZeneca Pharmaceuticals LP | $166 |
| Mylan Specialty L.P. | $93 |
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: 2007-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070806000395 | I | Pulmonary Disease | AL | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 407 | 181 | $0 |
| 99291 | Critical care, first 30-74 minutes | 248 | 113 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 189 | 140 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 101 | 58 | $0 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 93 | 88 | $0 |
Insurance plans in this area (ZIP 36111)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | AL | 31622 | Diagnostic examination of lung airways using an endoscope | 21 | 20 |
| PULMONARY DISEASE | AL | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 44 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Critical Care (Intensivists) | NJ | |
| - | AL | |
| Pulmonary Disease | AL | |
| Nurse Practitioner | AL | |
| Internal Medicine, Pulmonary Disease | AL | |
| Nurse Practitioner | AL |
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