ROBERT BENJAMIN BIRCH MD
NPI 1750885091
Orthopaedic Surgery in Coral Gables, FL

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
71.98/100
CMS Quality Rating
1150 CAMPO SANO AVENUE, 2ND FL, BAPTIST HEALTH ORTHOPEDIC CARE, CORAL GABLES, FL 33146(786) 308-2152 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, May 30, 2023, May 24, 2023 and 1 more (4 updates tracked since 2018).

About Robert Benjamin Birch Md NPPES

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

ROBERT BENJAMIN BIRCH MD (NPI 1750885091) is an individual orthopaedic surgery provider in Coral Gables, Florida, licensed in Florida (ME162035) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1750885091
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROBERT BENJAMIN BIRCHCredential: MD
Location Address1150 CAMPO SANO AVENUE, 2ND FL, BAPTIST HEALTH ORTHOPEDIC CARECoral Gables, FL 33146
Mailing Address1150 Campo Sano Avenue, 2nd Fl, Baptist Health Orthopedic CareCoral Gables, FL 33146 · (786) 308-2152
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateApril 8, 20244 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1750885091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME162035
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1150 CAMPO SANO AVENUE, Coral Gables, FL 33146

Secondary Practice Location 1

Location 11701 W Charleston Blvd Ste 440Las Vegas, NV 89102-2325 · Phone (702) 671-2272

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

Robert Benjamin Birch Md 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 ID1951652890
PECOS Enrollment IDI20240501003638
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 11

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
69 services68 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.
65 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services37 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
39 services31 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
39 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Henderson Hospital

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290057
Location1050 West Galleria DriveHenderson, NV 89011 · Clark County
Emergency services Birthing friendly

Boulder City Hospital

Critical Access Hospitals · Boulder City, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number291309
Location901 Adams BlvdBoulder City, NV 89005 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

71.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.9
Promoting Interoperability99
Improvement Activities40
Cost46.55

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 Robert Birch's NPI number?

The NPI number for Robert Birch is 1750885091. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Robert Birch located?

Robert Birch practices at 1150 Campo Sano Avenue 2nd Fl, Baptist Health Orthopedic Care, Coral Gables, FL 33146. The listed phone number is (786) 308-2152.

What is Robert Birch's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert Birch enrolled in Medicare?

Yes. Robert 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.

Is Robert Birch affiliated with any hospitals?

According to CMS data, Robert Birch is affiliated with Saint Rose Dominican Hospitals - Siena Campus, Henderson Hospital and Boulder City Hospital.

When was this NPI record last updated?

The NPPES record for Robert Birch was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.