Monica Blanton-Birzer, PA-C
NPI 1225096670 · Physician Assistant · Lawrence, KS
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Blanton-Birzer, PA-C is a Physician Assistant provider in Lawrence, KS (NPI 1225096670).
Provider details
- NPI number
- 1225096670
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1500589 (KS)
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 tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
364 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 108 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 91 | $100 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 42 | $128 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 30 | $44 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 29 | $31 |
| Automated Urinalysis Test81003 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 77 | 46 |
| Gabapentin | 55 | 27 |
| Dexamethasone | 52 | 48 |
| Tizanidine Hcl | 40 | 18 |
| Methocarbamol | 36 | 26 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 23 | 12 |
| Pregabalin | 23 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$93 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2021-11-22
- Certified
- 2021-11-08
Frequently asked questions
- What is Monica Blanton-Birzer's NPI number?
- Monica Blanton-Birzer's National Provider Identifier (NPI) is 1225096670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Blanton-Birzer's specialty?
- Monica Blanton-Birzer is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Monica Blanton-Birzer located?
- Monica Blanton-Birzer's practice location on file with NPPES is 1130 W 4th St Ste 3204, Lawrence, KS 66044-1345.
- What is Monica Blanton-Birzer's phone number?
- The practice phone number listed in the NPPES registry for Monica Blanton-Birzer is (785) 505-5815.
- Does Monica Blanton-Birzer accept Medicare?
- Monica Blanton-Birzer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Blanton-Birzer's NPI active?
- Yes — Monica Blanton-Birzer's NPI (1225096670) is active in the NPPES registry as of the last update on 2021-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.