CANDY E BIRCH M.D.
NPI 1063468007
Obstetrics & Gynecology in Fayetteville, AR

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
3215 N NORTH HILLS BLVD, SUITE B, FAYETTEVILLE, AR 72703(479) 463-5500(479) 463-5542 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Candy E Birch M.d. NPPES

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

CANDY E BIRCH M.D. (NPI 1063468007) is an individual obstetrics & gynecology provider in Fayetteville, Arkansas, licensed in Maryland (E3885) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1996).

NPPES Registry Identity

NPI1063468007
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCANDY E BIRCHCredential: M.D.
Location Address3215 N NORTH HILLS BLVD, SUITE BFayetteville, AR 72703
Mailing AddressPo Box 550Lowell, AR 72745-0550 · (479) 463-7775 · Fax (479) 463-7187
Fax(479) 463-5542
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1996
Enumeration DateMay 25, 2006
Last NPPES UpdateNovember 21, 2019
NPI 1063468007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MD · E3885
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3215 N NORTH HILLS BLVD, Fayetteville, AR 72703

Other Identifiers 2

Other5M744AR · Blue
Medicaid152778001AR

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

Candy E Birch M.d. 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 ID7012906472
PECOS Enrollment IDI20040510001665
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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
56 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services17 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.
13 services13 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Family)
3215 N NORTH HILLS BLVD
FAYETTEVILLE, AR 72703
Pediatrics (Neonatal-Perinatal Medicine)
3215 N NORTH HILLS BLVD
FAYETTEVILLE, AR 72703
Obstetrics & Gynecology
3215 N NORTH HILLS BLVD, SUITE B
FAYETTEVILLE, AR 72703
Hospitalist
3215 N NORTH HILLS BLVD
FAYETTEVILLE, AR 72703
Obstetrics & Gynecology
3215 N NORTH HILLS BLVD, SUITE B
FAYETTEVILLE, AR 72703
Hospitalist
3215 N NORTH HILLS BLVD
FAYETTEVILLE, AR 72703
Emergency Medicine
3215 N NORTH HILLS BLVD
FAYETTEVILLE, AR 72703
Emergency Medicine
3215 N NORTH HILLS BLVD
FAYETTEVILLE, AR 72703

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 Candy Birch's NPI number?

The NPI number for Candy Birch is 1063468007. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Candy Birch located?

Candy Birch practices at 3215 N North Hills Blvd Suite B, Fayetteville, AR 72703. The listed phone number is (479) 463-5500.

What is Candy Birch's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Candy Birch enrolled in Medicare?

Yes. Candy Birch 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 Candy Birch accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Candy Birch 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.

When was this NPI record last updated?

The NPPES record for Candy Birch was last updated on November 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.