MR. ROBERT BIRK JR. PA-C
NPI 1215024716
Physician Assistant in Woodruff, WI

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
240 MAPLE ST, WOODRUFF, WI 54568(715) 356-8000 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2019, Nov 9, 2018 (2 updates tracked since 2018).

About Mr. Robert Birk Jr. Pa-c NPPES

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

MR. ROBERT BIRK JR. PA-C (NPI 1215024716) is an individual physician assistant in Woodruff, Wisconsin, licensed in Wisconsin (1515) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1215024716
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROBERT BIRK JR.Credential: PA-C
Location Address240 MAPLE STWoodruff, WI 54568-9190
Mailing Address240 Maple StWoodruff, WI 54568-9190 · (715) 356-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 6, 2006
Last NPPES UpdateNovember 12, 20192 updates tracked since enumeration
NPI 1215024716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 1515
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

240 MAPLE ST, Woodruff, WI 54568

Other Identifiers 4

Medicaid11014110WI
Other1515WI · State License
Other390848401050WI · Bcbx
Other1851477913Cmh Npi

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

Mr. Robert Birk Jr. Pa-c 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 ID345233748
PECOS Enrollment IDI20040402001441
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
113 services112 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
100 services96 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.
68 services64 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services25 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.
20 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54568 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

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.

Nurse Anesthetist, Certified Registered
240 MAPLE ST
WOODRUFF, WI 54568
Physician Assistant
240 MAPLE ST
WOODRUFF, WI 54568
Nurse Practitioner (Family)
240 MAPLE ST
WOODRUFF, WI 54568
Emergency Medicine
240 MAPLE ST
WOODRUFF, WI 54568
General Acute Care Hospital
240 MAPLE ST
WOODRUFF, WI 54568
Nurse Practitioner (Family)
240 MAPLE ST
WOODRUFF, WI 54568
Physician Assistant (Medical)
240 MAPLE ST
WOODRUFF, WI 54568
Physical Therapist
240 MAPLE ST
WOODRUFF, WI 54568

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 Robert Birk's NPI number?

The NPI number for Robert Birk is 1215024716. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Robert Birk located?

Robert Birk practices at 240 Maple St, Woodruff, WI 54568. The listed phone number is (715) 356-8000.

What is Robert Birk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Robert Birk enrolled in Medicare?

Yes. Robert Birk 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 Robert Birk accept?

Health plans from Anthem Blue Cross and Blue Shield list Robert Birk 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 Robert Birk affiliated with any hospitals?

According to CMS data, Robert Birk is affiliated with Aspirus Rhinelander Hospital.

When was this NPI record last updated?

The NPPES record for Robert Birk was last updated on November 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.