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

Active since April 21, 2011PECOS Enrolled
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: October 18, 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.

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
Phone(315) 786-4900
Sole ProprietorNo
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
Open in Google Maps ↗

Other Names 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Rose Birchenough D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Birchenough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Samaritan Medical Center
Same address
Rehabilitation Unit
830 WASHINGTON ST
Watertown, NY 13601
  • Reassigned Medicare billing, New York enrollment
  • 183 clinicians in this Medicare group
NPI 1093722068 (315) 786-4800
Mvhs Inc
69 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
NPI 1770690737 (315) 917-9966

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

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.

JIN JU YI
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DR. APARANJI PALLAVI BALABHADRAPATRUNI MD
Student in an Organized Health Care Education/Training Program
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-7300
DEANNA HIRSCHEY PT
Physical Therapist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
JEFFREY CLINTON KRAUSS PA
Physician Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 786-4813
TINA LIVINGSTON PTA
Physical Therapy Assistant
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4088
ANDREA MARY FAVRET RPH
Pharmacist
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4063
MS. EMILY MARIE RICHARDS CRNA
Nurse Anesthetist, Certified Registered
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4313
DR. SHRIPAD BRAHMANAND PANDE MD
Internal Medicine
830 WASHINGTON ST
WATERTOWN, NY 13601
Jefferson County (315) 785-4000

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 enrollment system.

Which organizations bill Medicare for Kelly Birchenough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Birchenough reassigns Medicare benefits to 2 organizations: Samaritan Medical Center (Watertown, NY) and Mvhs Inc (Utica, NY). 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 Kelly Birchenough'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 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 12 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.