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HEATHER J BIRNBAUM PA
NPI 1932643566
Physician Assistant in Lynchburg, VA

Active since December 16, 2016PECOS EnrolledAccepts Medicare Assignment
2137 LAKESIDE DR, LYNCHBURG, VA 24501(434) 845-4175(434) 385-8616 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather J Birnbaum Pa NPPES

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

HEATHER J BIRNBAUM PA (NPI 1932643566) is an individual physician assistant in Lynchburg, Virginia and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1932643566
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER J BIRNBAUMCredential: PA
Location Address2137 LAKESIDE DRLynchburg, VA 24501-6806
Mailing Address2137 Lakeside DrLynchburg, VA 24501-6806 · (434) 845-4175 · Fax (434) 385-8616
Phone(434) 845-4175
Fax(434) 385-8616
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 16, 2016
✔ NPI 1932643566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2137 LAKESIDE DR, Lynchburg, VA 24501
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Other Names 1

Former Name (1)Heather J Cox

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

Heather J Birnbaum Pa 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 ID6901174101
PECOS Enrollment IDI20170612001978
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%4,339 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
22%235 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%99 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
77%1,224 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,095 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%1,095 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%1,095 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

MR. PAUL EDWARD FOSTER PA-C
Physician Assistant (Medical)
2137 LAKESIDE DR, STE 100
LYNCHBURG, VA 24501
Campbell County (434) 385-4184
GENE BENJAMIN BAKER PA
Physician Assistant
2137 LAKESIDE DR, STE 100
LYNCHBURG, VA 24501
Campbell County (434) 385-4184
DANA RAY WILLIAMS PA-C
Physician Assistant (Medical)
2137 LAKESIDE DR, SUITE 100
LYNCHBURG, VA 24501
Campbell County (434) 845-4175
NEAL CABANISS PA
Physician Assistant
2137 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 385-4184
DR. DONALD G BRANSON MD
Family Medicine
2137 LAKESIDE DR
LYNCHBURG, VA 24501
Campbell County (434) 385-4184
DR. JAMES W WHITE DC
Chiropractor
2137 LAKESIDE DR, SUITE 102
LYNCHBURG, VA 24501
Campbell County (434) 385-4000
JAMES W. WHITE PC
Chiropractor
2137 LAKESIDE DR, SUITE 102
LYNCHBURG, VA 24501
Campbell County (434) 385-4000
LEANNA J SMITH FNP-BC
Nurse Practitioner (Family)
2137 LAKESIDE DR, STE 100
LYNCHBURG, VA 24501
Campbell County (434) 385-4184

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 Heather Birnbaum's NPI number?

The NPI number for Heather Birnbaum is 1932643566. It was assigned to this individual provider in the NPPES registry on December 16, 2016. The provider is also known as Heather J Cox.

Where is Heather Birnbaum located?

Heather Birnbaum practices at 2137 Lakeside Dr, Lynchburg, VA 24501. The listed phone number is (434) 845-4175.

What is Heather Birnbaum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Birnbaum enrolled in Medicare?

Yes. Heather Birnbaum 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.

When was this NPI record last updated?

The NPPES record for Heather Birnbaum was last updated on December 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.