SAMUEL C BIRKHOLZ
NPI 1558873786
Nurse Anesthetist, Certified Registered in Yreka, CA

Active since October 27, 2017Accepts Medicare Assignment
61.16/100
CMS Quality Rating
444 BRUCE ST, YREKA, CA 96097(530) 842-4121(530) 841-2049 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2020, Oct 27, 2017 (2 updates tracked since 2017).

About Samuel C Birkholz NPPES

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

SAMUEL C BIRKHOLZ (NPI 1558873786) is an individual nurse anesthetist, certified registered in Yreka, California, licensed in California (95000789) and active in the NPI registry since October 2017. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1558873786
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSAMUEL C BIRKHOLZ
Location Address444 BRUCE STYreka, CA 96097-3450
Mailing Address444 Bruce StYreka, CA 96097-3450 · (530) 842-4124
Fax(530) 841-2049
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 27, 2017
Last NPPES UpdateApril 20, 20202 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1558873786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95000789
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
444 BRUCE ST, Yreka, CA 96097

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel C Birkholz 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 ID6305103136
PECOS Enrollment IDI20171201002078

Medicare Billing Reassignments

3

Medicare enrollment records show Samuel Birkholz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
444 BRUCE ST
Yreka, CA 96097
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1093892275 (California)
  • 64 clinicians in this Medicare group
Critical Access
60 EASTER AVENUE
Weaverville, CA 96093
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1407027568 (California)
  • 119 clinicians in this Medicare group
Anesthesiology
2175 ROSALINE AVE
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 833 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
40 services39 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
24 services24 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
21 services21 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
15 services15 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96097 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

61.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.6
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.

Pathology (Anatomic Pathology)
444 BRUCE ST
YREKA, CA 96097
Internal Medicine
444 BRUCE ST
YREKA, CA 96097
Student in an Organized Health Care Education/Training Program
444 BRUCE ST
YREKA, CA 96097
Internal Medicine
444 BRUCE ST
YREKA, CA 96097
General Acute Care Hospital (Critical Access)
444 BRUCE ST
YREKA, CA 96097
Registered Nurse (Registered Nurse First Assistant)
444 BRUCE ST
YREKA, CA 96097
Nurse Practitioner (Psychiatric/Mental Health)
444 BRUCE ST
YREKA, CA 96097
Hospitalist
444 BRUCE ST
YREKA, CA 96097

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 Samuel Birkholz's NPI number?

The NPI number for Samuel Birkholz is 1558873786. It was assigned to this individual provider in the NPPES registry on October 27, 2017.

Where is Samuel Birkholz located?

Samuel Birkholz practices at 444 Bruce St, Yreka, CA 96097. The listed phone number is (530) 842-4121.

What is Samuel Birkholz's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Samuel Birkholz enrolled in Medicare?

Yes. Samuel Birkholz 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.

Which organizations bill Medicare for Samuel Birkholz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Birkholz reassigns Medicare benefits to 3 organizations: Siskiyou Hospital, Inc. (Yreka, CA), Mountain Communities Healthcare District (Weaverville, CA) and Cep America - Anesthesia PC (Redding, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Birkholz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Birkholz was last updated on April 20, 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.