JAMES H BIRKHOLZ M.D.
NPI 1760608160
Radiology - Diagnostic Radiology in Hershey, PA

Q: What is James Birkholz's NPI number?

The NPI number for James Birkholz is 1760608160. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is James Birkholz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for James Birkholz was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment

71.78/100

CMS Quality Rating

500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8044(717) 531-5596 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2021, Oct 14, 2019 (2 updates tracked since 2019).

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About James H Birkholz M.d. NPPES

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

JAMES H BIRKHOLZ M.D. (NPI 1760608160) is an individual diagnostic radiology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD432086) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2002).

NPPES Registry Identity

NPI1760608160

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJAMES H BIRKHOLZCredential: M.D.

Location Address500 UNIVERSITY DRHershey, PA 17033-2360

Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455

Phone(717) 531-8044

Fax(717) 531-5596

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2002

Enumeration DateApril 17, 2007

Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2021

✔ NPI 1760608160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in PA · MD432086

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

500 UNIVERSITY DR, Hershey, PA 17033

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Other Identifiers 1

Medicaid1020089130001PA

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

James H Birkholz 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 ID5698868875

PECOS Enrollment IDI20070904000441

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 14

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.

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

171 services164 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

116 services111 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

72 services71 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

71 services70 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

57 services51 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

44 services44 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

38 services38 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

35 services35 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

25 services25 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

17 services17 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

16 services16 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

14 services12 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

13 services13 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

71.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

48.32

Promoting Interoperability

100

Improvement Activities

Cost

57.63

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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.

MR. DANIEL MICHAEL WEISS I PA-C

Physician Assistant

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-7299

NICOLE SWALLOW M.D.

Internal Medicine

500 UNIVERSITY DR, H088
HERSHEY, PA 17033

Dauphin County (717) 531-1692

NEERAV GOYAL M.D.

Otolaryngology

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KARIMA C FITZGERALD M.D.

Surgery (Trauma Surgery)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8887

DR. ANTHONY SIMON BONAVIA M.D.

Anesthesiology (Critical Care Medicine)

500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033

Dauphin County (717) 531-8521

DR. HIROKO SHIKE MD

Pathology (Clinical Pathology/Laboratory Medicine)

500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033

Dauphin County (717) 531-8615

MARIUM TARIQ M.D.

Family Medicine

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (717) 531-8521

KANTHI BANGALORE KRISHNA MBBS

Pediatrics (Pediatric Endocrinology)

500 UNIVERSITY DR
HERSHEY, PA 17033

Dauphin County (800) 243-1455

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 James Birkholz's NPI number?

The NPI number for James Birkholz is 1760608160. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is James Birkholz located?

James Birkholz practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8044.

What is James Birkholz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Birkholz enrolled in Medicare?

Yes. James Birkholz 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 James Birkholz affiliated with any hospitals?

According to CMS data, James Birkholz is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for James Birkholz was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.