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DEBRA LYNN BIRCH NP
NPI 1548530892
Nurse Practitioner in Wheeling, WV

Active since January 04, 2012PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL PARK, SUITE 702, WHEELING, WV 26003(304) 243-8409(304) 243-8804 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra Lynn Birch Np NPPES

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

DEBRA LYNN BIRCH NP (NPI 1548530892) is an individual nurse practitioner in Wheeling, West Virginia, licensed in West Virginia (55609) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1548530892
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEBRA LYNN BIRCHCredential: NP
Location Address1 MEDICAL PARK, SUITE 702Wheeling, WV 26003
Mailing Address1 Medical Park, Suite 702Wheeling, WV 26003 · (304) 243-8409 · Fax (304) 243-8804
Phone(304) 243-8409
Fax(304) 243-8804
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 4, 2012
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1548530892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WV · 55609
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1 MEDICAL PARK, Wheeling, WV 26003
Open in Google Maps ↗

Other Names 1

Former Name (1)Debra Lynn Bryant

Other Identifiers 1

Medicaid0060587OH

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

Debra Lynn Birch Np 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 ID5496913964
PECOS Enrollment IDI20120301000221
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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
169 services88 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.
140 services91 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
56 services51 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.
30 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services20 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers22 claims47 services$6.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MOLLY E. FISHER SLP
Speech-Language Pathologist
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
KRISTINA JOHNSON PH.D.
Behavior Analyst
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-1134
MICHAEL GARMAN ATC,PTA
Specialist/Technologist (Athletic Trainer)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
CATHERINE F SANSONE PT
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Ohio County (304) 243-3124
BILLIE J JOHNSTON PT
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Ohio County (304) 243-3124
ANGELA HENNIS
Nurse Practitioner (Family)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
MADELINE F SHIPE CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3343
TERRY L STAKE M.D.
Radiology (Diagnostic Radiology)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3270

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 Debra Birch's NPI number?

The NPI number for Debra Birch is 1548530892. It was assigned to this individual provider in the NPPES registry on January 4, 2012. The provider is also known as Debra Lynn Bryant.

Where is Debra Birch located?

Debra Birch practices at 1 Medical Park Suite 702, Wheeling, WV 26003. The listed phone number is (304) 243-8409.

What is Debra Birch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Debra Birch enrolled in Medicare?

Yes. Debra Birch 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 Debra Birch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Debra Birch 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 Debra Birch affiliated with any hospitals?

According to CMS data, Debra Birch is affiliated with Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Debra Birch was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.