MRS. HEATHER MARIE BIRMINGHAM PA-C
NPI 1457825549
Physician Assistant in Alpena, MI

Q: What is Heather Birmingham's NPI number?

The NPI number for Heather Birmingham is 1457825549. It was assigned to this individual provider in the NPPES registry on January 11, 2019. The provider is also known as Miss Heather Marie Himes.

Q: What is Heather Birmingham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 11, 2019PECOS EnrolledAccepts Medicare Assignment

90.53/100

CMS Quality Rating

105 ARBOR LN, ALPENA, MI 49707(989) 884-0139 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Heather Marie Birmingham Pa-c NPPES

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

MRS. HEATHER MARIE BIRMINGHAM PA-C (NPI 1457825549) is an individual physician assistant in Alpena, Michigan, licensed in Michigan (5601008937) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457825549

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. HEATHER MARIE BIRMINGHAMCredential: PA-C

Location Address105 ARBOR LNAlpena, MI 49707-1301

Mailing Address13719 Enger RdPosen, MI 49776-9218 · (989) 464-6183

Phone(989) 884-0139

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 11, 2019

✔ NPI 1457825549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601008937

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

105 ARBOR LN, Alpena, MI 49707

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Other Names 1

Former Name (1)Miss Heather Marie Himes

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Heather Marie Birmingham Pa-c 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 ID446599161

PECOS Enrollment IDI20190225001369

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 19

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,525 services301 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.

678 services565 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

585 services451 patients

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.

407 services316 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

289 services254 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

252 services207 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.

154 services154 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

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

54 services40 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

51 services16 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

42 services38 patients

Removal of skin tag, 1-15 skin tags 11200

Skin tag removal is a simple procedure where small, benign growths on the skin are carefully removed. This can be achieved through several methods such as freezing, burning, or cutting off the skin tags. The process is quick, typically painless with local anesthesia, and aids in skin smoothness.

41 services41 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

30 services27 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

28 services26 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

27 services26 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

18 services11 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Acne surgery 10040

Acne surgery is a procedure to clear up severe acne that doesn't respond to other treatments. It involves a dermatologist using specialized tools to remove blackheads, whiteheads, and pimples. This helps to reduce the appearance of acne and prevent future breakouts.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number230036

Location1501 W Chisholm StAlpena, MI 49707 · Alpena County

Emergency services Birthing friendly

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230100

Location200 HemlockTawas City, MI 48764 · Iosco County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49707 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $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.

90.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.14

Improvement Activities

Cost

92.02

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.

INTERNAL MEDICINE CLINIC PLLC

Internal Medicine (Pulmonary Disease)

105 ARBOR LN
ALPENA, MI 49707

Alpena County (989) 356-3485

MR. BRIAN GELB MD

Emergency Medicine (Emergency Medical Services)

105 ARBOR LN
ALPENA, MI 49707

Alpena County (989) 884-0139

DR. HENRY STIBITZ M.D.

Internal Medicine

105 ARBOR LN
ALPENA, MI 49707

Alpena County (989) 356-3485

DR. STEPHEN CLOVIS SHERIDAN M.D.

Family Medicine

105 ARBOR LN
ALPENA, MI 49707

Alpena County (989) 356-3485

JESSICA LUDLOW FNP-C

Nurse Practitioner (Family)

105 ARBOR LN
ALPENA, MI 49707

Alpena County (989) 356-3485

DYNAMIC DERMATOLOGY AND SKIN CANCER CENTER PC

Dermatology

105 ARBOR LN
ALPENA, MI 49707

Alpena County (989) 356-3485

CARRELL RICE SPANN MD

Specialist

105 ARBOR LN
ALPENA, MI 49707

Alpena County (989) 356-3485

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 Heather Birmingham's NPI number?

The NPI number for Heather Birmingham is 1457825549. It was assigned to this individual provider in the NPPES registry on January 11, 2019. The provider is also known as Miss Heather Marie Himes.

Where is Heather Birmingham located?

Heather Birmingham practices at 105 Arbor Ln, Alpena, MI 49707. The listed phone number is (989) 884-0139.

What is Heather Birmingham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Birmingham enrolled in Medicare?

Yes. Heather Birmingham 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 Heather Birmingham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Heather Birmingham 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 Heather Birmingham affiliated with any hospitals?

According to CMS data, Heather Birmingham is affiliated with Mymichigan Medical Center Alpena and Tawas St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Heather Birmingham was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.