KELLY ROSE BIRCHENOUGH D.O.
NPI 1710278957
Obstetrics & Gynecology in Watertown, NY

Active since April 21, 2011PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
830 WASHINGTON ST, WATERTOWN, NY 13601(315) 786-4900 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Jun 4, 2019, Oct 14, 2016 (3 updates tracked since 2016).

About Kelly Rose Birchenough D.o. NPPES

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

KELLY ROSE BIRCHENOUGH D.O. (NPI 1710278957) is an individual obstetrics & gynecology provider in Watertown, New York, licensed in New York (298638) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2007).

NPPES Registry Identity

NPI1710278957
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKELLY ROSE BIRCHENOUGHCredential: D.O.
Location Address830 WASHINGTON STWatertown, NY 13601-4099
Mailing Address830 Washington StWatertown, NY 13601-4099 · (315) 786-4900
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2007
Enumeration DateApril 21, 2011
Last NPPES UpdateOctober 10, 20253 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1710278957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in NY · 298638 Licensed in PA · OS017606
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
830 WASHINGTON ST, Watertown, NY 13601

Other Names 1

Former Name (1)Kelly Rose Ferguson D.o.

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

Kelly Rose Birchenough 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 ID3173836061
PECOS Enrollment IDI20190621000883
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

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.

Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Physical Therapist
830 WASHINGTON ST
WATERTOWN, NY 13601
Physician Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Physical Therapy Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Pharmacist
830 WASHINGTON ST
WATERTOWN, NY 13601
Internal Medicine
830 WASHINGTON ST
WATERTOWN, NY 13601
Nurse Practitioner (Psychiatric/Mental Health)
830 WASHINGTON ST
WATERTOWN, NY 13601

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 Kelly Birchenough's NPI number?

The NPI number for Kelly Birchenough is 1710278957. It was assigned to this individual provider in the NPPES registry on April 21, 2011. The provider is also known as Kelly Rose Ferguson D.O..

Where is Kelly Birchenough located?

Kelly Birchenough practices at 830 Washington St, Watertown, NY 13601. The listed phone number is (315) 786-4900.

What is Kelly Birchenough's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kelly Birchenough enrolled in Medicare?

Yes. Kelly Birchenough 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.

When was this NPI record last updated?

The NPPES record for Kelly Birchenough was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.