PATRICK MICHAEL BIRMINGHAM MD
NPI 1043477052
Orthopaedic Surgery - Sports Medicine in Chicago, IL

Q: What is Patrick Birmingham's NPI number?

The NPI number for Patrick Birmingham is 1043477052. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Q: What is Patrick Birmingham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since May 19, 2008PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

680 N LAKE SHORE DR STE 924, CHICAGO, IL 60611(847) 866-7846(866) 954-5787 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2021, Nov 4, 2019 (2 updates tracked since 2019).

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About Patrick Michael Birmingham Md NPPES

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

PATRICK MICHAEL BIRMINGHAM MD (NPI 1043477052) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (036123563) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1043477052

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NamePATRICK MICHAEL BIRMINGHAMCredential: MD

Location Address680 N LAKE SHORE DR STE 924Chicago, IL 60611

Mailing Address680 N Lake Shore Dr Ste 924Chicago, IL 60611-8701 · (847) 866-7846 · Fax (866) 954-5787

Phone(847) 866-7846

Fax(866) 954-5787

Sole ProprietorYes

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2003

Enumeration DateMay 19, 2008

Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2021

✔ NPI 1043477052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in IL · 036123563

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

680 N LAKE SHORE DR STE 924, Chicago, IL 60611

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Secondary Practice Location 1

Location 12650 Ridge Ave, Department of Orthopaedic SurgeryEvanston, IL 60201-1718 · Phone (847) 881-6848

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Patrick Michael Birmingham 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 ID5799839379

PECOS Enrollment IDI20120820000883

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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

37 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

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.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

ALEXANDRA MICHALAK PT, DPT

Physical Therapist