Philip Schmalz, M. D.
NPI 1255774899 · Neurological Surgery Physician · Birmingham, AL
Enrolled with Medicare as Practitioner - Neurosurgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Philip Schmalz, M. D. is a Neurological Surgery Physician provider in Birmingham, AL (NPI 1255774899).
Provider details
- NPI number
- 1255774899
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M. D.
- Sex
- Male
- Sole proprietor
- No
- License
- 33976 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
278 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 53 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 52 | $89 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 47 | $72 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 36 | $122 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 32 | $119 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 14 | 12 |
| Lacosamide | 12 | — |
| Alprazolam | 11 | — |
| Gabapentin | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$127 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1720 2nd Ave SBirmingham, AL 35294-0004Phone: (205) 801-7400
Registry dates
- Enumerated
- 2013-04-13
- Last updated
- 2023-06-29
- Certified
- 2022-04-19
Frequently asked questions
- What is Philip Schmalz's NPI number?
- Philip Schmalz's National Provider Identifier (NPI) is 1255774899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Schmalz's specialty?
- Philip Schmalz is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Philip Schmalz located?
- Philip Schmalz's practice location on file with NPPES is 625 19th St S, Birmingham, AL 35233-1900.
- What is Philip Schmalz's phone number?
- The practice phone number listed in the NPPES registry for Philip Schmalz is (205) 934-3546.
- Does Philip Schmalz accept Medicare?
- Philip Schmalz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Philip Schmalz's NPI active?
- Yes — Philip Schmalz's NPI (1255774899) is active in the NPPES registry as of the last update on 2023-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.