DR. CRAIG B BIRGFELD MD
NPI 1760438402
Plastic Surgery in Seattle, WA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-3256(206) 987-3925 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Craig B Birgfeld Md NPPES

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

DR. CRAIG B BIRGFELD MD (NPI 1760438402) is an individual plastic surgery provider in Seattle, Washington, licensed in Washington (MD00046247) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1760438402
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. CRAIG B BIRGFELDCredential: MD
Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901
Mailing AddressPo Box 50010Seattle, WA 98105-1010 · (206) 987-8450 · Fax (206) 987-8484
Fax(206) 987-3925
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 12, 2012
NPI 1760438402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in WA · MD00046247
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgeryTaxonomy 208600000X · License MD00046247 (WA)
4800 SAND POINT WAY NE, Seattle, WA 98105

Other Identifiers 4

Medicare ID-Type Unspecified8860103WA
Medicaid807496400ID
Medicare UPINI53015WA
Medicaid8453078WA

Accepted 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. Craig B Birgfeld 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 ID5193737906
PECOS Enrollment IDI20060619000039
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.

Hospital Affiliations CMS Care Compare

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
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.

Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105

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 Craig Birgfeld's NPI number?

The NPI number for Craig Birgfeld is 1760438402. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Craig Birgfeld located?

Craig Birgfeld practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-3256.

What is Craig Birgfeld's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Craig Birgfeld enrolled in Medicare?

Yes. Craig Birgfeld 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.

What insurance does Craig Birgfeld accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Craig Birgfeld as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Craig Birgfeld affiliated with any hospitals?

According to CMS data, Craig Birgfeld is affiliated with Harborview Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Birgfeld was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.