DR. CALEB RAY BIRCHLER D.O.
NPI 1366892994
Surgery - Vascular Surgery in Fairfield, OH

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment
64.67/100
CMS Quality Rating
3050 MACK RD STE 310, FAIRFIELD, OH 45014(513) 421-3494 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 18, 2025, Apr 7, 2025, Mar 18, 2025 and 5 more (8 updates tracked since 2016).

About Dr. Caleb Ray Birchler D.o. NPPES

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

DR. CALEB RAY BIRCHLER D.O. (NPI 1366892994) is an individual vascular surgery provider in Fairfield, Ohio, licensed in Ohio (34C.000424) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366892994
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. CALEB RAY BIRCHLERCredential: D.O.
Location Address3050 MACK RD STE 310Fairfield, OH 45014-5376
Mailing Address520 Mary St Ste 520Evansville, IN 47710-1682 · (812) 424-8231 · Fax (812) 435-8794
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 14, 2016
Last NPPES UpdateJune 18, 20258 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1366892994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in OH · 34C.000424 Licensed in IN · 02007201A
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

3050 MACK RD STE 310, Fairfield, OH 45014

Other Identifiers 5

Other02007201AIN · In - State License
Medicaid300076773IN
Medicaid5009822281001IL
Other5315090246MI · Mi License
Medicaid7100896450KY

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

Dr. Caleb Ray Birchler D.o. 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 ID5092075457
PECOS Enrollment IDI20250515001610
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 18

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
125 services109 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
70 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 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.
56 services56 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
45 services40 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
41 services36 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

64.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.09
Promoting Interoperability56
Improvement Activities40
Cost63.35

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.

Surgery
3050 MACK RD STE 310
FAIRFIELD, OH 45014
Surgery
3050 MACK RD STE 310
FAIRFIELD, OH 45014
Surgery (Vascular Surgery)
3050 MACK RD STE 310
FAIRFIELD, OH 45014
Nurse Practitioner (Acute Care)
3050 MACK RD STE 310
FAIRFIELD, OH 45014
Nurse Practitioner (Gerontology)
3050 MACK RD STE 310
FAIRFIELD, OH 45014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366892994, enumerated as an "individual" on June 14, 2016.

The provider is located at 3050 MACK RD STE 310 FAIRFIELD, OH 45014 and the phone number is (513) 421-3494.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Caleb Birchler is affiliated with: MERCY HEALTH-ANDERSON HOSPITAL, THE JEWISH HOSPITAL-MERCY HEALTH, MERCY HEALTH - FAIRFIELD HOSPITAL and MERCY HEALTH - WEST HOSPITAL.