KELLEY ANN BIRMINGHAM FNP
NPI 1912382268
Nurse Practitioner - Family in Oneonta, NY

Active since July 28, 2015PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
1 FOXCARE DR, ONEONTA, NY 13820(607) 432-1163 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelley Ann Birmingham Fnp NPPES

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

KELLEY ANN BIRMINGHAM FNP (NPI 1912382268) is an individual family provider in Oneonta, New York, licensed in New York (F339742-1) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Chenango Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912382268
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY ANN BIRMINGHAMCredential: FNP
Location Address1 FOXCARE DROneonta, NY 13820-2099
Mailing Address26 Fairview DrWindsor, NY 13865-1101 · (607) 237-4334
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 28, 2015
NPI 1912382268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F339742-1
1 FOXCARE DR, Oneonta, NY 13820

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

Kelley Ann Birmingham Fnp 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 ID5193026151
PECOS Enrollment IDI20151216000633
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 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.
309 services168 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
154 services153 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.
144 services144 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
132 services132 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.
109 services82 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.
32 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13820 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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
5 suppliers40 claims91 services$5.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers16 claims18 services$0.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers28 claims28 services$18.22 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier23 claims23 services$13.15 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier23 claims23 services$13.43 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier23 claims23 services$179.19 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.

Physical Therapist
1 FOXCARE DR
ONEONTA, NY 13820
Pharmacy (Community/Retail Pharmacy)
1 FOXCARE DR, STE 215
ONEONTA, NY 13820
Nurse Practitioner (Adult Health)
1 FOXCARE DR
ONEONTA, NY 13820
Physical Therapist
1 FOXCARE DR
ONEONTA, NY 13820
Physical Therapy Assistant
1 FOXCARE DR
ONEONTA, NY 13820
Nurse Practitioner (Family)
1 FOXCARE DR, ONEONTA FAMILY PRACTICE
ONEONTA, NY 13820
Optometrist
1 FOXCARE DR, SUITE 100
ONEONTA, NY 13820
Physical Therapy Assistant
1 FOXCARE DR
ONEONTA, NY 13820

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 Kelley Birmingham's NPI number?

The NPI number for Kelley Birmingham is 1912382268. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Kelley Birmingham located?

Kelley Birmingham practices at 1 Foxcare Dr, Oneonta, NY 13820. The listed phone number is (607) 432-1163.

What is Kelley Birmingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelley Birmingham enrolled in Medicare?

Yes. Kelley Birmingham 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.

Is Kelley Birmingham affiliated with any hospitals?

According to CMS data, Kelley Birmingham is affiliated with Chenango Memorial Hospital and Aurelia Osborn Fox Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelley Birmingham was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.