KRISTINE FAULKNHAM BIRDSALL M.D.
NPI 1245761642
Family Medicine in Wethersfield, CT

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 696-2400 Get Directions Write a Review

NPPES record last updated: December 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 31, 2022, Aug 25, 2021, Jul 15, 2020 and 1 more (4 updates tracked since 2017).

About Kristine Faulknham Birdsall M.d. NPPES

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

KRISTINE FAULKNHAM BIRDSALL M.D. (NPI 1245761642) is an individual family medicine provider in Wethersfield, Connecticut, licensed in Connecticut (69016) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245761642
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINE FAULKNHAM BIRDSALLCredential: M.D.
Location Address1025 SILAS DEANE HWYWethersfield, CT 06109-4223
Mailing Address1025 Silas Deane HwyWethersfield, CT 06109-4223 · (860) 696-2400 · Fax (860) 972-7040
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateDecember 31, 20224 updates tracked since enumeration
NPPES CertifiedDecember 31, 2022
NPI 1245761642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CT · 69016 Licensed in NY · 303175
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.

1025 SILAS DEANE HWY, Wethersfield, CT 06109

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

Kristine Faulknham Birdsall M.d. 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 ID244502680
PECOS Enrollment IDI20210831000542
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 9

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.

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.
207 services125 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
108 services108 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.
79 services71 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Nurse Practitioner (Family)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Social Worker (Clinical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Physician Assistant (Medical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Nurse Practitioner (Family)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109

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 Kristine Birdsall's NPI number?

The NPI number for Kristine Birdsall is 1245761642. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Kristine Birdsall located?

Kristine Birdsall practices at 1025 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 696-2400.

What is Kristine Birdsall's specialty?

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

Is Kristine Birdsall enrolled in Medicare?

Yes. Kristine Birdsall 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.

When was this NPI record last updated?

The NPPES record for Kristine Birdsall was last updated on December 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.