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JEFFREY A BIRO M.D.
NPI 1992706410
Internal Medicine - Rheumatology in Vermilion, OH

Active since August 09, 2005PECOS Enrolled
1605 STATE RT. 60 VINEYARD SQUARE PLAZA #9, VERMILION, OH 44089(440) 967-1128(440) 967-1172 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey A Biro M.d. NPPES

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

JEFFREY A BIRO M.D. (NPI 1992706410) is an individual rheumatology provider in Vermilion, Ohio, licensed in Ohio (34003335) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992706410
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJEFFREY A BIROCredential: M.D.
Location Address1605 STATE RT. 60 VINEYARD SQUARE PLAZA #9Vermilion, OH 44089
Mailing Address1031 Pierce St, Suite DSandusky, OH 44870-4669 · (419) 557-5541 · Fax (419) 557-5542
Phone(440) 967-1128
Fax(440) 967-1172
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 23, 2014
✔ NPI 1992706410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in OH · 34003335
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Other Identifiers 5

Medicare PINH178010OH
Medicare UPINA15586OH
Medicaid0585415OH
OtherP01185896OH · Medicare Rr
Medicare PINBI7345141OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey A Biro M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jeffrey Biro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Current Care Of Ohio PA Co
Urgent Care
5080 SPECTRUM DR, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
NPI 1023292943 (972) 720-7772
St Vincent Charity Medical Center
Primary Care
2475 E 22ND ST STE 120
Cleveland, OH 44115
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group
NPI 1083323687 (216) 431-1500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44089 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Jeffrey Biro's NPI number?

The NPI number for Jeffrey Biro is 1992706410. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Jeffrey Biro located?

Jeffrey Biro practices at 1605 State Rt. 60 Vineyard Square Plaza #9, Vermilion, OH 44089. The listed phone number is (440) 967-1128.

What is Jeffrey Biro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jeffrey Biro enrolled in Medicare?

Yes. Jeffrey Biro is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Biro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Biro reassigns Medicare benefits to 2 organizations: American Current Care Of Ohio PA Co (Addison, TX) and St Vincent Charity Medical Center (Cleveland, OH). 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 Jeffrey Biro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Biro accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 7 other insurers list Jeffrey Biro 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 Jeffrey Biro was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.