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DR. LYNNE M BIRKMEYER MD
NPI 1124029301
Pediatrics in Erie, PA

Active since August 10, 2005PECOS Enrolled

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2025, Feb 2, 2023 (2 updates tracked since 2023).

About Dr. Lynne M Birkmeyer Md NPPES

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

DR. LYNNE M BIRKMEYER MD (NPI 1124029301) is an individual pediatrics provider in Erie, Pennsylvania, licensed in Pennsylvania (MD442035) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1124029301
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LYNNE M BIRKMEYERCredential: MD
Location Address1202 STATE STErie, PA 16501-1914
Mailing Address4022 Zuck RdErie, PA 16506-4592 · (814) 877-5424 · Fax (814) 877-5423
Phone(814) 455-7222
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1124029301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD442035✔ Licensed in CT · 034397✔ Licensed in VA · 034397
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1202 STATE ST, Erie, PA 16501
Open in Google Maps ↗

Secondary Practice Location 1

Location 14022 Zuck Road, Your Pediatric Connection WestErie, PA 16506-4592 · Phone (814) 877-5424 · Fax (814) 877-5423

Other Identifiers 11

Medicaid1025727420001PA
Other1528733United Healthcare
Other010034397CT03CT · Bluecross/blue Shield
Other0R4432Healthnet
Other265500Mvp
Other01034397Cigna
Other343970Connecticare
OtherHAP143Oxford
Medicaid001343970CT
Other2602753Ghi
Other2396621Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lynne M Birkmeyer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lynne Birkmeyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Net
Same address
Federally Qualified Health Center (FQHC)
1202 STATE ST
Erie, PA 16501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
NPI 1245209170 (814) 455-7222

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16501 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 20

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

MARSHA L GRACE CCHW
Community Health Worker
1202 STATE ST
ERIE, PA 16501
Erie County (814) 455-7222
DR. ANTHONY R IGNOCHECK MD
Family Medicine
1202 STATE ST
ERIE, PA 16501
Erie County (814) 455-7222
BRENT A VARGO LCSW
Social Worker (Clinical)
1202 STATE ST
ERIE, PA 16501
Erie County (814) 455-7222
EMILY BARRON CRNP
Nurse Practitioner (Family)
1202 STATE ST
ERIE, PA 16501
Erie County (814) 455-7222
COMMUNITY HEALTH NET
Pharmacy (Community/Retail Pharmacy)
1202 STATE ST
ERIE, PA 16501
Erie County (814) 464-9520
PAULA M DEDIONISIO LCSW
Social Worker (Clinical)
1202 STATE ST
ERIE, PA 16501
Erie County (814) 454-4530
DENEEN M MORRIS CRNP
Nurse Practitioner
1202 STATE ST
ERIE, PA 16501
Erie County (814) 455-7222
JANE C BURKE CRNP
Nurse Practitioner
1202 STATE ST
ERIE, PA 16501
Erie County (814) 454-4530

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 Lynne Birkmeyer's NPI number?

The NPI number for Lynne Birkmeyer is 1124029301. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Lynne Birkmeyer located?

Lynne Birkmeyer practices at 1202 State St, Erie, PA 16501. The listed phone number is (814) 455-7222.

What is Lynne Birkmeyer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lynne Birkmeyer enrolled in Medicare?

Yes. Lynne Birkmeyer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lynne Birkmeyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynne Birkmeyer reassigns Medicare benefits to Community Health Net (Erie, PA). The 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 Lynne Birkmeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynne Birkmeyer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lynne Birkmeyer 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 Lynne Birkmeyer was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.