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DR. MARK P BIRKENBACH MD
NPI 1346212313
Pathology - Anatomic Pathology in Minneapolis, MN

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
84.89/100
CMS Quality Rating
420 DELAWARE ST SE, MMC 609, MINNEAPOLIS, MN 55455(612) 884-0301 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark P Birkenbach Md NPPES

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

DR. MARK P BIRKENBACH MD (NPI 1346212313) is an individual anatomic pathology provider in Minneapolis, Minnesota, licensed in Minnesota (261QM1300X) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1982).

NPPES Registry Identity

NPI1346212313
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. MARK P BIRKENBACHCredential: MD
Location Address420 DELAWARE ST SE, MMC 609Minneapolis, MN 55455-0341
Mailing Address720 Washington Ave Se, Suite 300Minneapolis, MN 55414-2924 · (763) 782-6400 · Fax (763) 782-6400
Phone(612) 884-0301
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1982
Enumeration DateFebruary 3, 2006
Last NPPES UpdateDecember 19, 2013
✔ NPI 1346212313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in MN · 261QM1300X✔ Licensed in VA · 0101224785
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
420 DELAWARE ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Other Identifiers 22

Other28803VA · Sentara Ohp/shp
OtherPARVA · Usa Managed Care
Medicare PIN690000040VA
Other283447VA · Uhc/mamsi/mdipa
Other008VA · Champus/tricare
Medicaid89063MTVA
Other452114VA · Bc/bs Va/hk
Other57175MN · Minnesota Medical License Number
OtherPARVA · Cigna
OtherPARVA · Aetna Ppo
OtherPARVA · Vhn/phcs
OtherPARVA · Multi Plan
OtherPARVA · Vph
Medicare UPINH400105635MN
Medicare ID-Type Unspecified690000040VA · Va Medicare
Other063MTVA · Bc/bs Nc
OtherPARVA · Mid-atlantic Vicare
Medicaid004910681VA
OtherPARVA · First Health
OtherPARVA · Corvel Corcare
Medicare UPINF35429VA
Medicare ID-Type Unspecified220030510VA · Va Rr Mcr

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

Dr. Mark P Birkenbach 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 ID6507864097
PECOS Enrollment IDI20061116000377
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 5

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.

Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
104 services13 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
45 services15 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
16 services15 patients
Electron microscopy for diagnosis 88348
Electron microscopy is a diagnostic tool providing detailed images of tiny structures within the body, much smaller than those visible with regular microscopes. It aids in identifying diseases at a cellular level, enhancing accuracy of diagnosis.
14 services14 patients
Antibody evaluation, initial single antibody stain procedure 88346
An antibody evaluation, initial single antibody stain procedure is a laboratory test. It's designed to identify specific proteins, or antibodies, in your body. This can help diagnose certain conditions or monitor your immune system's response to treatments. The procedure involves staining a single type of antibody for detection.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

84.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
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.

KHALID AMIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455
Hennepin County (913) 827-3505
MELISSA RICHARDSON PA-C
Physician Assistant
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
DR. RAID SAID MOUSA YOUSEF M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7911
DR. DAVID YOUNG BALSER MD
Physical Medicine & Rehabilitation
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2661
ALEXANDER TROESTER
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
NIKITHA VOBUGARI MD
Internal Medicine (Hematology & Oncology)
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-0400
THOMAS HOUGHLAND MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5589
DR. ANUSHA L GOPALAM MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5454

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 Mark Birkenbach's NPI number?

The NPI number for Mark Birkenbach is 1346212313. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Mark Birkenbach located?

Mark Birkenbach practices at 420 Delaware St SE Mmc 609, Minneapolis, MN 55455. The listed phone number is (612) 884-0301.

What is Mark Birkenbach's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Mark Birkenbach enrolled in Medicare?

Yes. Mark Birkenbach 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 Mark Birkenbach was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.