Doctor profile · Federal record
Dr. Roxana Carcelen, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Birmingham, AL
- NPI 1306801543
- Accepts Medicare
- MIPS 87.0 / 100 · 2023
- 31 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
619 19Th St S
Birmingham, AL 352498718
(205) 934-4011 - Additional location
-
1022 1St St N, Suite 401
Alabaster, AL 350078718
(205) 664-5935
fax (205) 664-5233 - Additional location
-
2000 6Th Ave S
Birmingham, AL 352332110
(205) 996-5864
fax (205) 801-8105 - Mailing address
-
Po Box 55310
Birmingham, AL 352555310
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- February 1, 2024
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Alabama #16369
- Medicaid (2)
- AL #000035508 · AL #000034731
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306801543. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
424
Distinct HCPCS
10
Medicare allowed
$41,437
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 94 | 81 | $119 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 64 | 61 | $83 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 42 | 14 | $76 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $127 | |
95810 |
Sleep study in sleep lab (6 years or older) | 30 | 27 | $113 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $149 | |
94727 |
Test to determine lung volumes using gas dilution or washout | 20 | 19 | $37 | |
94729 |
Test to examine how well the lungs exchange gases | 20 | 19 | $47 | |
94010 |
Test to measure expiratory airflow and volume | 19 | 19 | $24 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 18 | 18 | $93 |
In context: peer comparison
Among 33 peers in this city , average services per provider: 64. This provider delivers 6.6× the peer median.Open Payments
Industry payments received
All-time total
$555
Transactions
16
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inspire Medical Systems, Inc. | 3 | $179.89 | |
| GENZYME CORPORATION | 1 | $121.84 | |
| Regeneron Healthcare Solutions, Inc. | 3 | $74.08 | |
| GlaxoSmithKline, LLC. | 3 | $57.30 | |
| 3B Medical, Inc. | 1 | $31.15 | |
| HARMONY BIOSCIENCES LLC | 1 | $24.16 | |
| JAZZ PHARMACEUTICALS INC. | 1 | $22.09 | |
| Boston Scientific Corporation | 1 | $15.78 | |
| Grifols USA, LLC | 1 | $15.15 | |
| AstraZeneca Pharmaceuticals LP | 1 | $13.35 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,515
Patients
413
Total drug cost
$547,225
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 316 | 114 | $11,171 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 281 | 50 | $204,621 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 213 | 50 | $121,893 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 163 | 39 | $118,037 |
| Montelukast Sodium | Generic | 147 | 49 | $3,218 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 79 | 28 | $39,545 |
| Roflumilast | Generic | 47 | 16 | $8,482 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 42 | 16 | $2,768 |
| Prednisone | Generic | 40 | 27 | $242 |
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 35 | 0 | $20,248 |
Hospital affiliations
Frequently asked questions
What is Dr. Roxana Carcelen's medical specialty?
Dr. Roxana Carcelen practices Pulmonary Disease Physician in Birmingham, AL.
Where does Dr. Roxana Carcelen practice?
Dr. Roxana Carcelen practices at 619 19Th St S, Birmingham, AL 352498718. Office phone: 2059344011.
What is Dr. Roxana Carcelen's NPI?
Dr. Roxana Carcelen's National Provider Identifier (NPI) is 1306801543, issued by NPPES.
Does Dr. Roxana Carcelen accept Medicare assignment?
Yes. Dr. Roxana Carcelen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Roxana Carcelen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.