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DR. ANDREW GARTNER BIRKHEAD MD FAAFP FASAM
NPI 1417341785
Family Medicine in Chicago, IL

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1135 W 69TH ST, CHICAGO, IL 60621(773) 483-5011(773) 483-5259 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2025, Apr 21, 2021, Feb 22, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Andrew Gartner Birkhead Md Faafp Fasam NPPES

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

DR. ANDREW GARTNER BIRKHEAD MD FAAFP FASAM (NPI 1417341785) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.144124) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Tulane University School Of Medicine (2015).

NPPES Registry Identity

NPI1417341785
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREW GARTNER BIRKHEADCredential: MD FAAFP FASAM
Location Address1135 W 69TH STChicago, IL 60621-1147
Mailing Address1135 W 69th StChicago, IL 60621-1147 · (773) 483-5011 · Fax (773) 483-5259
Phone(773) 483-5011
Fax(773) 483-5259
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2015
Enumeration DateMarch 25, 2015
Last NPPES UpdateMarch 14, 20254 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1417341785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.144124
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.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 036.144124 (IL)
1135 W 69TH ST, Chicago, IL 60621
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Andrew Gartner Birkhead Md Faafp Fasam 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 ID4981914173
PECOS Enrollment IDI20180328003065
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 3

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.
74 services39 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.
51 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services19 patients

Hospital Affiliations CMS Care Compare 2

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL
OwnershipGovernment - Local
CMS Certification Number140300
Location500 E 51st StChicago, IL 60615 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60621 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Other Providers at the Same Location NPPES 7

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

MR. AWAIS AZMAT MD
Family Medicine
1135 W 69TH ST
CHICAGO, IL 60621
Cook County (773) 483-5011
TYLER J MCCAULEY PA-C
Physician Assistant
1135 W 69TH ST
CHICAGO, IL 60621
Cook County (773) 483-5011
DR. PRISCILLA AUGUSTON M.D.
Family Medicine
1135 W 69TH ST
CHICAGO, IL 60621
Cook County (773) 483-5011
COOK COUNTY
Clinic/Center (Primary Care)
1135 W 69TH ST
CHICAGO, IL 60621
Cook County (773) 483-5011
SYLVIA P. WHITE I LCSW
Social Worker (Clinical)
1135 W 69TH ST
CHICAGO, IL 60621
Cook County (773) 483-6462
COOK COUNTY
Family Medicine
1135 W 69TH ST
CHICAGO, IL 60621
Cook County (773) 483-5011
MS. ADEROJU FALILAT AGBOOLA
Physician Assistant
1135 W 69TH ST
CHICAGO, IL 60621
Cook County (773) 483-5011

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 Andrew Birkhead's NPI number?

The NPI number for Andrew Birkhead is 1417341785. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Andrew Birkhead located?

Andrew Birkhead practices at 1135 W 69th St, Chicago, IL 60621. The listed phone number is (773) 483-5011.

What is Andrew Birkhead's specialty?

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

Is Andrew Birkhead enrolled in Medicare?

Yes. Andrew Birkhead 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 Andrew Birkhead accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Andrew Birkhead 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 Andrew Birkhead affiliated with any hospitals?

According to CMS data, Andrew Birkhead is affiliated with John H Stroger Jr Hospital and Provident Hospital Of Chicago.

When was this NPI record last updated?

The NPPES record for Andrew Birkhead was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.