Roxana Carcelen, MD
NPI 1306801543 · Pulmonary Disease Physician · Birmingham, AL
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roxana Carcelen, MD is a Pulmonary Disease Physician provider in Birmingham, AL (NPI 1306801543).
Provider details
- NPI number
- 1306801543
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 16369 (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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
404 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 96 | $109 |
| 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 | 83 | $15 |
| 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 | 74 | $15 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 36 | $122 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 187 | 65 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 159 | 32 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 115 | 21 |
| Montelukast Sodium | 73 | 27 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 49 | 16 |
| Gabapentin | 32 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$555 across 16 records (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 (3)
- 1022 1st St NSuite 401Alabaster, AL 35007-8718Phone: (205) 664-5935Fax: (205) 664-5233
- 2000 6th Ave SBirmingham, AL 35233-2110Phone: (205) 996-5864Fax: (205) 801-8105
- 2000 6th Ave SBirmingham, AL 35233-2110Phone: (205) 996-5864Fax: (205) 801-8105
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2024-02-01
- Certified
- 2023-06-28
Frequently asked questions
- What is Roxana Carcelen's NPI number?
- Roxana Carcelen's National Provider Identifier (NPI) is 1306801543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roxana Carcelen's specialty?
- Roxana Carcelen is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Roxana Carcelen located?
- Roxana Carcelen's practice location on file with NPPES is 619 19th St S, Birmingham, AL 35249-8718.
- What is Roxana Carcelen's phone number?
- The practice phone number listed in the NPPES registry for Roxana Carcelen is (205) 934-4011.
- Does Roxana Carcelen accept Medicare?
- Roxana Carcelen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roxana Carcelen's NPI active?
- Yes — Roxana Carcelen's NPI (1306801543) is active in the NPPES registry as of the last update on 2024-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.