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DR. CAROLINE BIRKS MD
NPI 1851381537
Internal Medicine in Boston, MA

Active since October 25, 2005PECOS Enrolled
15 PARKMAN ST, BULFINCH MEDICAL GROUP, WANG 535, BOSTON, MA 02114(617) 724-6610(617) 724-6649 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Caroline Birks Md NPPES

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

DR. CAROLINE BIRKS MD (NPI 1851381537) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (213969) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Harvard Medical School (1999).

NPPES Registry Identity

NPI1851381537
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CAROLINE BIRKSCredential: MD
Location Address15 PARKMAN ST, BULFINCH MEDICAL GROUP, WANG 535Boston, MA 02114-3117
Mailing AddressPo Box 9142Charlestown, MA 02129-9142 · (617) 724-6610 · Fax (617) 724-6649
Phone(617) 724-6610
Fax(617) 724-6649
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1999
Enumeration DateOctober 25, 2005
Last NPPES UpdateFebruary 11, 2014
✔ NPI 1851381537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 213969
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.
15 PARKMAN ST, Boston, MA 02114
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Other Identifiers 5

Medicare UPINH62652
Other410043MA · Tufts Health Plan
Medicare PINA34099MA
Medicaid0198960MA
OtherJ24975MA · Bcbs Ma

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caroline Birks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173502226
PECOS Enrollment IDI20040714000547
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 8

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 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.
56 services34 patients
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.
55 services31 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.
29 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 5

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
7 suppliers11 claims44 services$5.68 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$35.81 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
4 suppliers11 claims11 services$48.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers17 claims102 services$1.89 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers22 claims22 services$21.13 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.

MRS. PATRICIA NOREEN FINNERAN NP-C
Nurse Practitioner (Adult Health)
15 PARKMAN ST, WAC 440
BOSTON, MA 02114
Suffolk County (617) 643-4709
MISS BRYANA CAREY PT, DPT
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 643-4373
DR. WILLIAM ELLIS FALK MD
Psychiatry & Neurology (Geriatric Psychiatry)
15 PARKMAN ST, PSYCHIATRY OUTPATIENT DEPARTMENT WAC 812
BOSTON, MA 02114
Suffolk County (617) 726-5600
MRS. LILIAN DAYAN-CIMADORO PT,DPT,MS,NCS,CLT-LA
Physical Therapist (Neurology)
15 PARKMAN ST, ROOM 134
BOSTON, MA 02114
Suffolk County (617) 724-7484
MS. ANGELA MARY HAUBER DPT
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 726-2962
JACKIE A MULGREW PT
Physical Therapist
15 PARKMAN ST, WACC 134
BOSTON, MA 02114
Suffolk County (617) 726-7487
MS. MARY S KNAB P.T.
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Suffolk County (617) 724-6398
DR. JAMES ELTON GROVES MD
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST, WAC 8 PSYCHIATRY OUTPATIENT DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 726-2714

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 Caroline Birks's NPI number?

The NPI number for Caroline Birks is 1851381537. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Caroline Birks located?

Caroline Birks practices at 15 Parkman St Bulfinch Medical Group, Wang 535, Boston, MA 02114. The listed phone number is (617) 724-6610.

What is Caroline Birks's specialty?

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

Is Caroline Birks enrolled in Medicare?

Yes. Caroline Birks is registered in the Medicare PECOS enrollment system.

What insurance does Caroline Birks accept?

Health plans from Anthem Blue Cross and Blue Shield list Caroline Birks 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 Caroline Birks affiliated with any hospitals?

According to CMS data, Caroline Birks is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Caroline Birks was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.