THOMAS RYAN BIRRIS MD
NPI 1003083627
Internal Medicine - Gastroenterology in Saint Joseph, MI

Active since May 13, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3903 HOLLYWOOD RD, SAINT JOSEPH, MI 49085(269) 408-1100 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Ryan Birris Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS RYAN BIRRIS MD (NPI 1003083627) is an individual gastroenterology provider in Saint Joseph, Michigan, licensed in Michigan (4301100025) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1003083627
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTHOMAS RYAN BIRRISCredential: MD
Location Address3903 HOLLYWOOD RDSaint Joseph, MI 49085-9149
Mailing Address3903 Hollywood RdSaint Joseph, MI 49085-9149
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMay 13, 2008
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
NPI 1003083627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MI · 4301100025
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036120897 (IL)
3903 HOLLYWOOD RD, Saint Joseph, MI 49085

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas Ryan Birris Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537324884
PECOS Enrollment IDI20120711000532
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
161 services77 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services55 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services18 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
26 services26 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Physician Assistant (Medical)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Nurse Practitioner
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Nurse Practitioner
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
General Acute Care Hospital
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Internal Medicine (Gastroenterology)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Clinic/Center (Ambulatory Surgical)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Internal Medicine (Gastroenterology)
3903 HOLLYWOOD RD
SAINT JOSEPH, MI 49085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Birris's NPI number?

The NPI number for Thomas Birris is 1003083627. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Thomas Birris located?

Thomas Birris practices at 3903 Hollywood Rd, Saint Joseph, MI 49085. The listed phone number is (269) 408-1100.

What is Thomas Birris's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Thomas Birris enrolled in Medicare?

Yes. Thomas Birris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Birris accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Thomas Birris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Birris affiliated with any hospitals?

According to CMS data, Thomas Birris is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Thomas Birris was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.