FREDRIC M. BIRCH MD
NPI 1851349906
Internal Medicine - Nephrology in Rapid City, SD

Active since May 04, 2006PECOS Enrolled
97.58/100
CMS Quality Rating
640 FLORMANN ST, RAPID CITY, SD 57701(605) 718-3300(605) 718-3426 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fredric M. Birch Md NPPES

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

FREDRIC M. BIRCH MD (NPI 1851349906) is an individual nephrology provider in Rapid City, South Dakota, licensed in South Dakota (1167) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851349906
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameFREDRIC M. BIRCHCredential: MD
Location Address640 FLORMANN STRapid City, SD 57701
Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000
Fax(605) 718-3426
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJanuary 24, 2013
NPI 1851349906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in SD · 1167
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

640 FLORMANN ST, Rapid City, SD 57701

Other Identifiers 3

Medicare PINS100967SD
Medicare UPINE25409
OtherP00299180SD · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fredric M. Birch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
129 services48 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
128 services47 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
82 services40 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
65 services13 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$1.34 avg. paid by Medicare
Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$1.64 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims480 services$0.56 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers24 claims24 services$12.10 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.

Midwife
640 FLORMANN ST, SUITE 400
RAPID CITY, SD 57701
Nurse's Aide
640 FLORMANN ST
RAPID CITY, SD 57701
Clinic/Center (Sleep Disorder Diagnostic)
640 FLORMANN ST, SUITE 145
RAPID CITY, SD 57701
640 FLORMANN ST
RAPID CITY, SD 57701
Durable Medical Equipment & Medical Supplies
640 FLORMANN ST
RAPID CITY, SD 57701
Internal Medicine (Infectious Disease)
640 FLORMANN ST
RAPID CITY, SD 57701
Nurse Practitioner
640 FLORMANN ST
RAPID CITY, SD 57701
Internal Medicine
640 FLORMANN ST
RAPID CITY, SD 57701

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 Fredric Birch's NPI number?

The NPI number for Fredric Birch is 1851349906. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Fredric Birch located?

Fredric Birch practices at 640 Flormann St, Rapid City, SD 57701. The listed phone number is (605) 718-3300.

What is Fredric Birch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Fredric Birch enrolled in Medicare?

Yes. Fredric Birch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fredric Birch was last updated on January 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.