KEITH R BIRCHARD MD
NPI 1164534350
Orthopaedic Surgery in Centralia, WA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
88.01/100
CMS Quality Rating
1900 COOKS HILL RD, CENTRALIA, WA 98531(360) 736-2889(360) 736-3136 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Dec 9, 2020 (2 updates tracked since 2020).

About Keith R Birchard Md NPPES

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

KEITH R BIRCHARD MD (NPI 1164534350) is an individual orthopaedic surgery provider in Centralia, Washington, licensed in Washington (MD00041707) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of University Of Washington School Of Medicine (1999).

NPPES Registry Identity

NPI1164534350
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEITH R BIRCHARDCredential: MD
Location Address1900 COOKS HILL RDCentralia, WA 98531-9073
Mailing AddressPo Box 368Olympia, WA 98507-0368 · (360) 491-8439 · Fax (360) 491-6328
Fax(360) 736-3136
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1164534350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WA · MD00041707
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1900 COOKS HILL RD, Centralia, WA 98531

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

Keith R Birchard 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 ID9830169051
PECOS Enrollment IDI20040727000552
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 20

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
415 services61 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.
249 services196 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
226 services43 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
167 services37 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.
142 services123 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.
128 services128 patients

Hospital Affiliations CMS Care Compare 4

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Willapa Harbor Hospital

Critical Access Hospitals · South Bend, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501303
Location800 Alder StreetSouth Bend, WA 98586 · Pacific County
Emergency services

Arbor Health Morton Hospital

Critical Access Hospitals · Morton, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501319
Location521 Adams StreetMorton, WA 98356 · Lewis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98531 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

88.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.47
Promoting Interoperability88
Improvement Activities40
Cost92.58

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
55%395 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
82%222 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
86%50 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%2,381 patients4/55-star benchmark: 100%
e-Prescribing
100%444 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
13%802 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%55 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%1,502 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,567 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%2,253 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 1,101 patients
0%1,101 patients
Provide Patients Electronic Access to Their Health Information
66%696 patients3/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%56 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 847 patients
Patients totalRate: 0% · 847 patients
0%847 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
2 suppliers11 claims11 services$104.78 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers18 claims21 services$58.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1900 COOKS HILL RD
CENTRALIA, WA 98531
Licensed Practical Nurse
1900 COOKS HILL RD
CENTRALIA, WA 98531
Registered Nurse
1900 COOKS HILL RD
CENTRALIA, WA 98531
Podiatrist
1900 COOKS HILL RD
CENTRALIA, WA 98531
Orthopaedic Surgery
1900 COOKS HILL RD
CENTRALIA, WA 98531
Physical Therapist
1900 COOKS HILL RD
CENTRALIA, WA 98531
Registered Nurse (Registered Nurse First Assistant)
1900 COOKS HILL RD
CENTRALIA, WA 98531
Registered Nurse
1900 COOKS HILL RD
CENTRALIA, WA 98531

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 Keith Birchard's NPI number?

The NPI number for Keith Birchard is 1164534350. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Keith Birchard located?

Keith Birchard practices at 1900 Cooks Hill Rd, Centralia, WA 98531. The listed phone number is (360) 736-2889.

What is Keith Birchard's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Keith Birchard enrolled in Medicare?

Yes. Keith Birchard 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 Keith Birchard accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Keith Birchard 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 Keith Birchard affiliated with any hospitals?

According to CMS data, Keith Birchard is affiliated with Providence Centralia Hospital, Providence St Peter Hospital, Willapa Harbor Hospital and Arbor Health Morton Hospital.

When was this NPI record last updated?

The NPPES record for Keith Birchard was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.