JOHN BIRKETT MD
NPI 1780655100
Family Medicine in Fort Dodge, IA

Q: What is John Birkett's NPI number?

The NPI number for John Birkett is 1780655100. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Q: What is John Birkett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Birkett was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 01, 2006PECOS Enrolled

119 AVENUE O W, FORT DODGE, IA 50501(515) 955-9200(515) 955-9201 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2021, Jan 12, 2017, Dec 22, 2016 (3 updates tracked since 2016).

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About John Birkett Md NPPES

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

JOHN BIRKETT MD (NPI 1780655100) is an individual family medicine provider in Fort Dodge, Iowa, licensed in Iowa (MD-20218) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1975).

NPPES Registry Identity

NPI1780655100

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN BIRKETTCredential: MD

Location Address119 AVENUE O WFort Dodge, IA 50501-5634

Mailing AddressPo Box 430Webster City, IA 50595-0430 · (515) 955-9200 · Fax (515) 955-9201

Phone(515) 955-9200

Fax(515) 955-9201

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1975

Enumeration DateFebruary 1, 2006

Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1780655100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · MD-20218

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

119 AVENUE O W, Fort Dodge, IA 50501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Birkett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466360763

PECOS Enrollment IDI20100225000823

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 Reassignment

Medicare enrollment records show John Birkett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hamilton County Public Hospital

20 mi

Critical Access

2350 HOSPITAL DRIVE
Webster City, IA 50595

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1033160809 (Iowa)
70 clinicians in this Medicare group

NPI 1295702397 (515) 832-9400

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

Hospital Affiliations CMS Care Compare 2

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160016

Location802 Kenyon RdFort Dodge, IA 50501 · Webster County

Emergency services Birthing friendly

Van Diest Medical Center

Critical Access Hospitals · Webster City, IA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number161361

Location2350 Hospital DriveWebster City, IA 50595 · Hamilton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50501 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers103 claims234 services$5.71 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers28 claims44 services$0.75 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers21 claims21 services$46.27 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers25 claims25 services$101.55 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers22 claims57 services$39.69 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers17 claims79 services$24.57 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers22 claims22 services$71.28 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers31 claims31 services$24.23 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers19 claims19 services$21.27 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers33 claims198 services$3.03 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers12 claims12 services$13.08 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims351 services$7.65 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier24 claims13,302 services$0.48 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier12 claims12 services$74.91 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers22 claims22 services$20.39 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier12 claims12 services$127.00 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers34 claims34 services$7.93 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers27 claims27 services$45.12 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$11.58 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers148 claims153 services$113.53 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier14 claims14 services$35.42 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers23 claims5,121 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers31 claims31 services$178.88 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier41 claims41 services$38.27 avg. paid by Medicare

Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825

DME-Wheelchairs · category DD009N

1 supplier12 claims12 services$213.08 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers25 claims25 services$24.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAN P NGUYEN DO

Family Medicine

119 AVENUE O W
FORT DODGE, IA 50501

Webster County (515) 955-9200

TRICIA LYNN WIDLUND A.R.N.P.

Nurse Practitioner (Family)

119 AVENUE O W
FORT DODGE, IA 50501

Webster County (515) 955-9200

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 John Birkett's NPI number?

The NPI number for John Birkett is 1780655100. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is John Birkett located?

John Birkett practices at 119 Avenue O W, Fort Dodge, IA 50501. The listed phone number is (515) 955-9200.

What is John Birkett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Birkett enrolled in Medicare?

Yes. John Birkett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Birkett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Birkett reassigns Medicare benefits to Hamilton County Public Hospital (Webster City, IA). The 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 John Birkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Birkett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list John Birkett 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 John Birkett affiliated with any hospitals?

According to CMS data, John Birkett is affiliated with Trinity Regional Medical Center and Van Diest Medical Center.

When was this NPI record last updated?

The NPPES record for John Birkett was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.