Marc Birkmaier, APRN
NPI 1205542198 · Family Nurse Practitioner · Columbia, SC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Birkmaier, APRN is a Family Nurse Practitioner provider in Columbia, SC (NPI 1205542198).
Provider details
- NPI number
- 1205542198
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 26986 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,146 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complex Chronic Care Management Services for Two Or More Chronic Conditions, Each Additional 60 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99489 | 340 | $57 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 307 | $99 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 185 | $98 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 68 | $16 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 62 | $13 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Furosemide | 50 | 24 |
| Amlodipine Besylate | 45 | 15 |
| Gabapentin | 43 | 14 |
| Losartan Potassium | 38 | 15 |
| Atorvastatin Calcium | 34 | 14 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 32 | 16 |
| Carvedilol | 27 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-01-25
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Frequently asked questions
- What is Marc Birkmaier's NPI number?
- Marc Birkmaier's National Provider Identifier (NPI) is 1205542198, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Birkmaier's specialty?
- Marc Birkmaier is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marc Birkmaier located?
- Marc Birkmaier's practice location on file with NPPES is Sc House Calls Inc, Columbia, SC 29203.
- What is Marc Birkmaier's phone number?
- The practice phone number listed in the NPPES registry for Marc Birkmaier is (800) 491-0909.
- Does Marc Birkmaier accept Medicare?
- Marc Birkmaier is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Birkmaier's NPI active?
- Yes — Marc Birkmaier's NPI (1205542198) is active in the NPPES registry as of the last update on 2023-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.