ERIC KIRBY
NPI 1811316565
Internal Medicine in Middleburg Heights, OH

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130(440) 816-6051(440) 816-6053 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2021, May 6, 2020, Apr 18, 2018 (3 updates tracked since 2018).

About Eric Kirby NPPES

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

ERIC KIRBY (NPI 1811316565) is an individual internal medicine provider in Middleburg Heights, Ohio, licensed in Ohio (1811316565) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1811316565
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameERIC KIRBY
Location Address18697 BAGLEY RDMiddleburg Heights, OH 44130-3417
Mailing Address2139 Auburn AveCincinnati, OH 45219-2906
Fax(440) 816-6053
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 9, 2014
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
NPI 1811316565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 1811316565
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

18697 BAGLEY RD, Middleburg Heights, OH 44130

Secondary Practice Location 1

Location 130 E Apple St # 3300Dayton, OH 45409-2939 · Phone (937) 208-8394 · Fax (937) 208-8388

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

Eric Kirby 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 ID4183925688
PECOS Enrollment IDI20180509001756
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 7

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.

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.
485 services179 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
106 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
101 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
98 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services54 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.
51 services37 patients

Hospital Affiliations CMS Care Compare

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims510 services$11.14 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims156 services$278.52 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims156 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier23 claims156 services$24.90 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims616 services$0.70 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 20

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

Pharmacist
18697 BAGLEY RD
CLEVELAND, OH 44130
Radiology (Diagnostic Radiology)
18697 BAGLEY RD, RADIOLOGY DEPARTMENT
CLEVELAND, OH 44130
Radiology (Diagnostic Radiology)
18697 BAGLEY RD, RADIOLOGY DEPARTMENT
CLEVELAND, OH 44130
Physical Medicine & Rehabilitation
18697 BAGLEY RD
MIDDLEBURG HTS, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130
Physician Assistant
18697 BAGLEY RD
CLEVELAND, OH 44130

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 Eric Kirby's NPI number?

The NPI number for Eric Kirby is 1811316565. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Eric Kirby located?

Eric Kirby practices at 18697 Bagley Rd, Middleburg Heights, OH 44130. The listed phone number is (440) 816-6051.

What is Eric Kirby's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eric Kirby enrolled in Medicare?

Yes. Eric Kirby 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 Eric Kirby accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Eric Kirby 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 Eric Kirby affiliated with any hospitals?

According to CMS data, Eric Kirby is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Eric Kirby was last updated on January 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.