THOMAS PETER BIRK D.O.
NPI 1245212604
Family Medicine in Beaver Falls, NY

Q: What is Thomas Birk's NPI number?

The NPI number for Thomas Birk is 1245212604. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is Thomas Birk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Thomas Birk enrolled in Medicare?

No. Thomas Birk has opted out of Medicare through August 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Thomas Birk was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 18, 2005Opted out of Medicare · through Aug 12, 2026

9559 MAIN STREET, BEAVER FALLS, NY 13305(315) 346-6824(315) 346-6868 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Thomas Peter Birk D.o. NPPES

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

THOMAS PETER BIRK D.O. (NPI 1245212604) is an individual family medicine provider in Beaver Falls, New York, licensed in New York (241738) and active in the NPI registry since November 2005. He has opted out of Medicare through August 12, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245212604

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS PETER BIRKCredential: D.O.

Location Address9559 MAIN STREETBeaver Falls, NY 13305

Mailing AddressPo Box 180Beaver Falls, NY 13305-0180 · (315) 346-6824 · Fax (315) 346-6868

Phone(315) 346-6824

Fax(315) 346-6868

Sole ProprietorNo

Enumeration DateNovember 18, 2005

Last NPPES UpdateMarch 26, 2013

✔ NPI 1245212604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NY · 241738✔ Licensed in VA · 0102201197

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9559 MAIN STREET, Beaver Falls, NY 13305

Open in Google Maps ↗

Other Identifiers 4

Medicaid02935822NY

Medicare PINP00604558NY

Medicare PINRB6678NY

Medicare UPINVAD000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thomas Peter Birk D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 12, 2022 through August 12, 2026.

Opt-Out Effective DateAugust 12, 2022

Opt-Out In Effect ThroughAugust 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13305 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers15 claims43 services$6.53 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers13 claims13 services$82.75 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers11 claims30 services$38.22 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers11 claims11 services$19.13 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers12 claims72 services$2.21 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier26 claims26 services$107.49 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 5

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

GREGORY MICHAEL DOMBROSKI PA-C, MPAS

Physician Assistant (Medical)