DR. BIRGIT FRAUSCHER MD
NPI 1942980404
Psychiatry & Neurology - Neurology in Durham, NC

Active since July 20, 2023PECOS EnrolledAccepts Medicare Assignment
40 MEDICINE CIRCLE CLINIC 1L, DURHAM, NC 27710(919) 668-7600 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Birgit Frauscher Md NPPES

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

DR. BIRGIT FRAUSCHER MD (NPI 1942980404) is an individual neurology provider in Durham, North Carolina, licensed in North Carolina (2023-00991) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1942980404
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BIRGIT FRAUSCHERCredential: MD
Location Address40 MEDICINE CIRCLE CLINIC 1LDurham, NC 27710-0001
Mailing Address2424 Erwin Rd Ste 1001Durham, NC 27705-3858
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1942980404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NC · 2023-00991
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
40 MEDICINE CIRCLE CLINIC 1L, Durham, NC 27710

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

Dr. Birgit Frauscher 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 ID1557716024
PECOS Enrollment IDI20231018003489
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

2

Medicare enrollment records show Birgit Frauscher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foot and Ankle Surgery
2609 N DUKE ST STE 301
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
Surgery
1000 TRENT DR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 20 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 3

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.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720
This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.
56 services28 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.
17 services17 patients
Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718
This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

Internal Medicine
40 MEDICINE CIRCLE CLINIC 1L
DURHAM, NC 27710

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 Birgit Frauscher's NPI number?

The NPI number for Birgit Frauscher is 1942980404. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Birgit Frauscher located?

Birgit Frauscher practices at 40 Medicine Circle Clinic 1L, Durham, NC 27710. The listed phone number is (919) 668-7600.

What is Birgit Frauscher's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Birgit Frauscher enrolled in Medicare?

Yes. Birgit Frauscher 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 Birgit Frauscher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Birgit Frauscher reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc (Durham, NC) and Duke University (Durham, NC). 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 Birgit Frauscher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Birgit Frauscher accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Birgit Frauscher 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 Birgit Frauscher affiliated with any hospitals?

According to CMS data, Birgit Frauscher is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Birgit Frauscher was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.