DR. LUCAS A BIRMELIN M.D.
NPI 1750378261
Internal Medicine - Critical Care Medicine in Chandler, AZ

Q: What is Lucas Birmelin's NPI number?

The NPI number for Lucas Birmelin is 1750378261. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Q: What is Lucas Birmelin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Birmelin was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment

1955 W FRYE RD, CHANDLER, AZ 85224(480) 728-3000(602) 230-6461 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Nov 15, 2024, Jul 23, 2019 and 1 more (4 updates tracked since 2017).

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About Dr. Lucas A Birmelin M.d. NPPES

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

DR. LUCAS A BIRMELIN M.D. (NPI 1750378261) is an individual critical care medicine provider in Chandler, Arizona, licensed in Arizona (29809) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of New Mexico School Of Medicine (1995).

NPPES Registry Identity

NPI1750378261

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. LUCAS A BIRMELINCredential: M.D.

Location Address1955 W FRYE RDChandler, AZ 85224-6282

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-3000

Fax(602) 230-6461

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1995

Enumeration DateSeptember 29, 2005

Last NPPES UpdateDecember 10, 20244 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1750378261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in AZ · 29809

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 29809 (AZ)

1955 W FRYE RD, Chandler, AZ 85224

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Secondary Practice Locations 3

Location 13555 S Val Vista DrGilbert, AZ 85297-7323 · Phone (480) 909-3870 · Fax (480) 728-9616

Location 22400 S Avenue AYuma, AZ 85364-7127 · Phone (928) 344-2000

Location 33945 E Paradise Falls Dr, Suite 201Tucson, AZ 85712-6683 · Phone (520) 290-5888 · Fax (520) 290-5551

Other Identifiers 1

Medicaid632621AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. Lucas A Birmelin M.d. 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 ID8729103031

PECOS Enrollment IDI20100909001050

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 2

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

76 services76 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

53 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%22 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HANNAH ELIZABETH ALLEN CNIM

Specialist/Technologist, Other (Electroneurodiagnostic)