MRS. THERESA SABRINA BIRARDI D.O.
NPI 1881899300
Family Medicine in Claymont, DE

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
2401 PHILADELPHIA PIKE, CLAYMONT, DE 19703(302) 428-4110(302) 798-6672 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Theresa Sabrina Birardi D.o. NPPES

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

MRS. THERESA SABRINA BIRARDI D.O. (NPI 1881899300) is an individual family medicine provider in Claymont, Delaware, licensed in Delaware (C2-0013225) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1881899300
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. THERESA SABRINA BIRARDICredential: D.O.
Location Address2401 PHILADELPHIA PIKEClaymont, DE 19703-2430
Mailing Address2401 Philadelphia PikeClaymont, DE 19703-2430 · (302) 428-4110 · Fax (302) 798-6672
Fax(302) 798-6672
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2007
Enumeration DateJune 15, 2007
Last NPPES UpdateOctober 16, 2019
NPI 1881899300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in DE · C2-0013225 Licensed in PA · OS015282
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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License OT012071 (PA)
2401 PHILADELPHIA PIKE, Claymont, DE 19703

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

Mrs. Theresa Sabrina Birardi D.o. 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 ID8921297557
PECOS Enrollment IDI20191107000057
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 10

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 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.
109 services82 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.
100 services75 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.
66 services66 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.
33 services25 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.
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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19703 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
2401 PHILADELPHIA PIKE, CLAYMONT FAMILY MEDICIANE CENTER
CLAYMONT, DE 19703
Nurse Practitioner (Family)
2401 PHILADELPHIA PIKE
CLAYMONT, DE 19703
Pediatrics
2401 PHILADELPHIA PIKE
CLAYMONT, DE 19703

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 Theresa Birardi's NPI number?

The NPI number for Theresa Birardi is 1881899300. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Theresa Birardi located?

Theresa Birardi practices at 2401 Philadelphia Pike, Claymont, DE 19703. The listed phone number is (302) 428-4110.

What is Theresa Birardi's specialty?

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

Is Theresa Birardi enrolled in Medicare?

Yes. Theresa Birardi 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 Theresa Birardi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Theresa Birardi 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.

When was this NPI record last updated?

The NPPES record for Theresa Birardi was last updated on October 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.