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MICHELLE MARIE BIRKENHOLZ D.O.
NPI 1083889216
Obstetrics & Gynecology - Obstetrics in Dublin, OH

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016(614) 476-4101 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michelle Marie Birkenholz D.o. NPPES

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

MICHELLE MARIE BIRKENHOLZ D.O. (NPI 1083889216) is an individual obstetrics provider in Dublin, Ohio, licensed in Ohio (34.010414) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083889216
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameMICHELLE MARIE BIRKENHOLZCredential: D.O.
Location Address5400 FRANTZ RD, SUITE 250Dublin, OH 43016-4144
Mailing Address6714 Swickard CtDublin, OH 43016-6094 · (614) 439-0876
Phone(614) 476-4101
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 29, 2008
Last NPPES UpdateMarch 15, 2017
✔ NPI 1083889216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in OH · 34.010414
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
5400 FRANTZ RD, Dublin, OH 43016
Open in Google Maps ↗

Other Identifiers 2

Medicare PINH094881OH
Medicaid0065025OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Marie Birkenholz D.o. 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 ID4981868726
PECOS Enrollment IDI20120607000468
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Birkenholz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
5.4 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772
Oh Independent Medical Group LLC
5.9 mi
Family Medicine
3430 OHIO HEALTH PKWY
Columbus, OH 43202
  • Reassigned Medicare billing, Ohio enrollment
  • 174 clinicians in this Medicare group
NPI 1497482111 (614) 566-0152

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
21 services21 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.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43016 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 3

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

ANDREW FAHMY M.D.
Internal Medicine (Cardiovascular Disease)
5400 FRANTZ RD, SUITE 250
DUBLIN, OH 43016
Franklin County (614) 544-6356
MRS. ALISIA A MITCHELL APRN
Nurse Practitioner
5400 FRANTZ RD, STE 250
DUBLIN, OH 43016
Franklin County (614) 544-6366
DR. BRYCE FINCHAM D.O.
Orthopaedic Surgery (Sports Medicine)
5400 FRANTZ RD, STE. 250
DUBLIN, OH 43016
Franklin County (614) 544-6366

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 Michelle Birkenholz's NPI number?

The NPI number for Michelle Birkenholz is 1083889216. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is Michelle Birkenholz located?

Michelle Birkenholz practices at 5400 Frantz Rd Suite 250, Dublin, OH 43016. The listed phone number is (614) 476-4101.

What is Michelle Birkenholz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Michelle Birkenholz enrolled in Medicare?

Yes. Michelle Birkenholz 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.

Which organizations bill Medicare for Michelle Birkenholz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Birkenholz reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Oh Independent Medical Group LLC (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Birkenholz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Birkenholz accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual, Oscar Health Insurance and UnitedHealthcare list Michelle Birkenholz 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 Michelle Birkenholz affiliated with any hospitals?

According to CMS data, Michelle Birkenholz is affiliated with Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Birkenholz was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.