JOHN CHRISTIAN BIRKY MD NPI 1003011529
Family Medicine in Garden City, KS
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 this provider 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 |
| Location Address | 311 E SPRUCE ST STE 2B GARDEN CITY, KS 67846 |
| Location Phone | (620) 765-4324 |
| Mailing Address | 902 N 5TH ST GARDEN CITY, KS 67846 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-15-2007 |
| Last Update Date | 03-17-2017 |
A primary care provider (PCP) like John Birky 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..
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
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.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 04-33089 |
| License State | KS |
| Taxonomy Description | Family 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
311 E SPRUCE ST
STE 2B
GARDEN CITY, KS
ZIP 67846
Phone: (620) 765-4324
Fax: (620) 464-4732
Mailing Address
902 N 5TH ST
GARDEN CITY, KS
ZIP 67846
Phone: (620) 277-8676
Fax: (620) 464-4732
Location Map
PECOS Enrollment and Medicare Participation Status
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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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. |
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| 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. |
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| 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. |
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| 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. |
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| 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 |
|---|---|---|
| 200567860C | MEDICAID (05) | KS |
| 110173181 | MEDICARE 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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 1 | 5 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 2 | 5 | 4 | |
| 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 = 9 | 9 | ||||||||
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 | Specialist | 311 E SPRUCE ST SUITE 2A GARDEN CITY, KS 67846 (620) 271-3100 |
| 1215991963 | JOANNE DOROTHY RINK MD Individual | Surgery | 311 E SPRUCE ST SUITE 2A SURGICAL GARDEN CITY, KS 67846 (620) 275-3741 |
| 1417908682 | DR. ERIC R OPPLIGER D.O. Individual | Family Medicine | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3703 |
| 1841241551 | DR. OSAMA M ISMAEL M.D. Individual | Internal Medicine | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3700 |
| 1447202924 | DR. PHI VAN D.P.M. Individual | Podiatrist | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3700 |
| 1801848247 | DR. STEPHEN C MEYERS M.D. Individual | Pediatrics | 311 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 | Pediatrics | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3700 |
| 1770611428 | JORGE DE CARDENAS M.D. Individual | Otolaryngology | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3700 |
| 1922139401 | HIGH PLAINS UROLOGY LLC Organization | Specialist | 311 E SPRUCE ST SUITE 3A GARDEN CITY, KS 67846 (620) 275-3760 |
| 1841411402 | J. LYNETTE ALEXANDER P.A. Individual | Physician Assistant | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3030 |
| 1821296021 | JOANNE D. RINK M.D., L.L.C. Organization | Surgery | 311 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 |
| 1760748982 | ZEFERINO J ARROYO LLC Organization | Surgery | 311 E SPRUCE ST SUITE 3-B GARDEN CITY, KS 67846 (620) 275-3740 |
| 1710067723 | DR. RONALD P CATANESE M.D. Individual | Urology | 311 E SPRUCE ST SUITE 3A GARDEN CITY, KS 67846 (620) 275-3760 |
| 1609060953 | DR. LINDSAY JEANNE BYRNES MD Individual | Pediatrics | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3700 |
| 1629062302 | KENT R WAGNER PA Individual | Physician Assistant | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3700 |
| 1619929825 | DR. TERRY R HUNSBERGER D.O. Individual | Family Medicine | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3700 |
| 1427000900 | DR. MICHAEL W SHULL D.O. Individual | Pediatrics | 311 E SPRUCE ST GARDEN CITY, KS 67846 (620) 275-3730 |
Frequently Asked Questions
What is John Birky MD NPI number?
The NPI number assigned to this healthcare provider is 1003011529, registered as an "individual" on June 15, 2007
Where is John Birky MD located?
The provider is located at 311 E Spruce St Ste 2b Garden City, Ks 67846 and the phone number is (620) 765-4324
Which is John Birky MD specialty?
The provider's speciality is Family Medicine
What insurance does John Birky MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is John Birky MD registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
What are John Birky MD Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
How much is a visit to John Birky MD?
Medicare beneficiaries should expect a typical cost of $84.85 with an average copayment of $21.21 for new patient appointments. Established patients should expect a typical charge of $98.47 and an average copayment of 24.61. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
The NPI record of John Birky MD was last updated on June 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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