MARC CHRISTOPHER BIRKMAIER APRN
NPI 1205542198
Nurse Practitioner - Family in Columbia, SC

Active since January 25, 2023PECOS EnrolledAccepts Medicare Assignment
SC HOUSE CALLS INC, 111 DOCTORS CIRCLE, COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 21, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Marc Christopher Birkmaier Aprn NPPES

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

MARC CHRISTOPHER BIRKMAIER APRN (NPI 1205542198) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (26986) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Musc Health Chester Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205542198
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARC CHRISTOPHER BIRKMAIERCredential: APRN
Location AddressSC HOUSE CALLS INC, 111 DOCTORS CIRCLEColumbia, SC 29203
Mailing AddressSc House Calls Inc, 111 Doctors CircleColumbia, SC 29203 · (800) 491-0909
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 25, 2023
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
NPI 1205542198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 26986
SC HOUSE CALLS INC, Columbia, SC 29203

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

Marc Christopher Birkmaier Aprn 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 ID2264806736
PECOS Enrollment IDI20230323002210
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 11

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
340 services26 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
307 services68 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.
185 services86 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
68 services34 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
58 services27 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Musc Health Chester Medical Center

Acute Care Hospitals · Chester, SC
OwnershipProprietary
CMS Certification Number420019
Location1 Medical Park DriveChester, SC 29706 · Chester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

Reported Quality Measures

e-Prescribing
98%593 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
37%153 patients2/55-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.

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.

Occupational Therapist
SC HOUSE CALLS INC, 111 DOCTORS CIRCLE
COLUMBIA, SC 29203
Occupational Therapist
SC HOUSE CALLS INC, 111 DOCTORS CIR.
COLUMBIA, SC 29203
Nurse Practitioner (Family)
SC HOUSE CALLS INC, 111 DOCTORS CIRCLE
COLUMBIA, SC 29203
Nurse Practitioner (Family)
SC HOUSE CALLS INC, 111 DOCTORS CIRCLE
COLUMBIA, SC 29203
Nurse Practitioner (Adult Health)
SC HOUSE CALLS INC, 111 DOCTORS CIRCLE
COLUMBIA, SC 29203
Nurse Practitioner (Family)
SC HOUSE CALLS INC, 111 DOCTORS CIR
COLUMBIA, SC 29203
Respiratory Therapist, Registered
SC HOUSE CALLS INC, 111 DOCTOR CIR
COLUMBIA, SC 29203
Occupational Therapist
SC HOUSE CALLS INC, 111 DOCTORS CIRCLE
COLUMBIA, SC 29203

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 Marc Birkmaier's NPI number?

The NPI number for Marc Birkmaier is 1205542198. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Marc Birkmaier located?

Marc Birkmaier practices at Sc House Calls Inc 111 Doctors Circle, Columbia, SC 29203. The listed phone number is (800) 491-0909.

What is Marc Birkmaier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marc Birkmaier enrolled in Medicare?

Yes. Marc Birkmaier 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 Marc Birkmaier accept?

Health plans from First Choice Next list Marc Birkmaier 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 Marc Birkmaier affiliated with any hospitals?

According to CMS data, Marc Birkmaier is affiliated with Musc Health Chester Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Birkmaier was last updated on February 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.