JOHN CHRISTIAN BIRKY MD NPI 1003011529
Family Medicine in Garden City, KS

Individual Male Family Medicine PECOS Enrolled MIPS Quality Score 91.3

About JOHN CHRISTIAN BIRKY MD

John Birky is a primary care provider established in Garden City, Kansas and his medical specialization is Family Medicine. The NPI number of John Birky is 1003011529 and was assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 04-33089 (KS). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1003011529
Provider Name JOHN CHRISTIAN BIRKY MD
Provider Location Address311 E SPRUCE ST STE 2B GARDEN CITY, KS 67846
Provider Mailing Address902 N 5TH ST GARDEN CITY, KS 67846
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-15-2007
Last Update Date03-17-2017

A primary care provider (PCP) like John Christian Birky Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc John Birky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

John Birky is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.04-33089
License StateKS
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

JOHN CHRISTIAN BIRKY MD
311 E SPRUCE ST
STE 2B
GARDEN CITY, KS
ZIP 67846
Phone: (620) 765-4324
Fax: (620) 464-4732

Get Directions


Mailing Address

JOHN CHRISTIAN BIRKY MD
902 N 5TH ST
GARDEN CITY, KS
ZIP 67846
Phone: (620) 277-8676
Fax: (620) 464-4732


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 92.1
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 84
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 79.8
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 91.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
200567860CMEDICAID (05)KS
110173181MEDICARE PIN (08)KS

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003011529
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 5 + 4 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003011529 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487648762 KURT F KESSLER MD
Individual
Specialist311 E SPRUCE ST SUITE 2A
GARDEN CITY, KS 67846
(620) 271-3100
1215991963 JOANNE DOROTHY RINK MD
Individual
Surgery311 E SPRUCE ST SUITE 2A SURGICAL
GARDEN CITY, KS 67846
(620) 275-3741
1417908682DR. ERIC R OPPLIGER D.O.
Individual
Family Medicine311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3703
1841241551DR. OSAMA M ISMAEL M.D.
Individual
Internal Medicine311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1447202924DR. PHI VAN D.P.M.
Individual
Podiatrist311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1801848247DR. STEPHEN C MEYERS M.D.
Individual
Pediatrics311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1356394605 MARY ANNE COOK ARNP
Individual
Nurse Practitioner (Family)311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1184677437 MERILYN K DOUGLASS ARNP
Individual
Nurse Practitioner (Family)311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1184677403 LEO ALTAMIRANO M.D.
Individual
Pediatrics311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1770611428 JORGE DE CARDENAS M.D.
Individual
Otolaryngology311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1922139401HIGH PLAINS UROLOGY LLC
Organization
Specialist311 E SPRUCE ST SUITE 3A
GARDEN CITY, KS 67846
(620) 275-3760
1841411402 J. LYNETTE ALEXANDER P.A.
Individual
Physician Assistant311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3030
1821296021JOANNE D. RINK M.D., L.L.C.
Organization
Surgery311 E SPRUCE ST SUITE 2A SURGICAL
GARDEN CITY, KS 67846
(620) 275-3740
1821247131 TAMMY L BAILES ARNP
Individual
Nurse Practitioner (Family)311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1760748982ZEFERINO J ARROYO LLC
Organization
Surgery311 E SPRUCE ST SUITE 3-B
GARDEN CITY, KS 67846
(620) 275-3740
1710067723DR. RONALD P CATANESE M.D.
Individual
Urology311 E SPRUCE ST SUITE 3A
GARDEN CITY, KS 67846
(620) 275-3760
1609060953DR. LINDSAY JEANNE BYRNES MD
Individual
Pediatrics311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1629062302 KENT R WAGNER PA
Individual
Physician Assistant311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1619929825DR. TERRY R HUNSBERGER D.O.
Individual
Family Medicine311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3700
1427000900DR. MICHAEL W SHULL D.O.
Individual
Pediatrics311 E SPRUCE ST
GARDEN CITY, KS 67846
(620) 275-3730

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
John Christian Birky Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.