MICHAEL J. BIRKHOFF MD
NPI 1861558785
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
800 SPRUCE STREET, STE 3390, PHILADELPHIA, PA 19107(215) 829-6079(215) 923-1562 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael J. Birkhoff Md NPPES

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

MICHAEL J. BIRKHOFF MD (NPI 1861558785) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD433806) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1861558785
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL J. BIRKHOFFCredential: MD
Location Address800 SPRUCE STREET, STE 3390Philadelphia, PA 19107-6130
Mailing Address800 Spruce Street, Ste 3390Philadelphia, PA 19107-6130 · (215) 829-6079 · Fax (215) 923-1562
Fax(215) 923-1562
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 28, 2006
Last NPPES UpdateNovember 23, 2011
✔ NPI 1861558785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in PA · MD433806✔ Licensed in PA · MT186415
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
800 SPRUCE STREET, Philadelphia, PA 19107

Other Identifiers 3

Medicaid102489842PA
Medicare PIN188636PA
Medicaid0239348NJ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael J. Birkhoff Md 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 ID6204020951
PECOS Enrollment IDI20101027000493, I20161103001198
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 Reassignments

3

Medicare enrollment records show Michael Birkhoff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Foot and Ankle Surgery
230 W WASHINGTON SQ, 5TH FLOOR
Philadelphia, PA 19106
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
  • 983 clinicians in this Medicare group
Internal Medicine
409 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • Also billed through NPI 1508019241 (New Jersey)
  • 793 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 36

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,145 services21 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.
644 services537 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.
435 services411 patients
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.
281 services261 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.
236 services175 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.
119 services118 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Dermatology
800 SPRUCE STREET, 10TH FLOOR
PHILADELPHIA, PA 19107
Physician Assistant
800 SPRUCE STREET, PINE 1 WEST
PHILADELPHIA, PA 19107
Physician Assistant
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
800 SPRUCE STREET, 2 SCHIEDT
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Physical Medicine & Rehabilitation
800 SPRUCE STREET
PHILADELPHIA, PA 19107
Pathology (Anatomic Pathology & Clinical Pathology)
800 SPRUCE STREET, 6 PRESTON
PHILADELPHIA, PA 19107
Internal Medicine (Gastroenterology)
800 SPRUCE STREET
PHILADELPHIA, PA 19107

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 Michael Birkhoff's NPI number?

The NPI number for Michael Birkhoff is 1861558785. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Michael Birkhoff located?

Michael Birkhoff practices at 800 Spruce Street Ste 3390, Philadelphia, PA 19107. The listed phone number is (215) 829-6079.

What is Michael Birkhoff's specialty?

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

Is Michael Birkhoff enrolled in Medicare?

Yes. Michael Birkhoff 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.

Which organizations bill Medicare for Michael Birkhoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Birkhoff reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA) and Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ). Each 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 Michael Birkhoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Birkhoff accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Michael Birkhoff 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 Michael Birkhoff affiliated with any hospitals?

According to CMS data, Michael Birkhoff is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Thomas Jefferson University Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Michael Birkhoff was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.