Mark Birmingham, DPM
NPI 1396913117 · Foot & Ankle Surgery Podiatrist · Boulder, CO
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Birmingham, DPM is a Foot & Ankle Surgery Podiatrist provider in Boulder, CO (NPI 1396913117).
Provider details
- NPI number
- 1396913117
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- POD.0000683 (CO)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 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
1,696 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 | 590 | $92 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 411 | $45 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 308 | $129 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 135 | $168 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 77 | $112 |
| X-Ray of Foot, Minimum of 3 Views73630 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 72 | 17 |
| Diclofenac Sodium | 47 | 23 |
| Terbinafine Hcl | 32 | 25 |
| Ciclopirox | 26 | 15 |
| Clotrimazole/Betamethasone Dipbrand: Clotrimazole-Betamethasone | 15 | 12 |
| Efinaconazolebrand: Jublia | 14 | — |
| Oxycodone Hcl | 11 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$747 across 17 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
- 2008-02-14
- Last updated
- 2017-01-18
Frequently asked questions
- What is Mark Birmingham's NPI number?
- Mark Birmingham's National Provider Identifier (NPI) is 1396913117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Birmingham's specialty?
- Mark Birmingham is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Mark Birmingham located?
- Mark Birmingham's practice location on file with NPPES is 2750 Broadway St, Boulder, CO 80304-3573.
- What is Mark Birmingham's phone number?
- The practice phone number listed in the NPPES registry for Mark Birmingham is (303) 440-3036.
- Does Mark Birmingham accept Medicare?
- Mark Birmingham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Birmingham's NPI active?
- Yes — Mark Birmingham's NPI (1396913117) is active in the NPPES registry as of the last update on 2017-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.