Richard Birmingham, PA-C
NPI 1568920593 · Physician Assistant · Knoxville, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Birmingham, PA-C is a Physician Assistant provider in Knoxville, TN (NPI 1568920593).
Provider details
- NPI number
- 1568920593
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
7 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
60 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) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 28 | $103 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 18 | $150 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 14 | $55 |
Typical Medicare-allowed amounts for these services range $55–$150 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 33 | 33 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 26 | 25 |
| Prednisone | 23 | 23 |
| Cephalexin | 22 | 21 |
| Diclofenac Sodium | 19 | 18 |
| Fluticasone Propionate | 19 | 17 |
| Ondansetronbrand: Ondansetron Odt | 18 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (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
- 2019-03-08
- Last updated
- 2022-09-18
- Certified
- 2022-09-18
Frequently asked questions
- What is Richard Birmingham's NPI number?
- Richard Birmingham's National Provider Identifier (NPI) is 1568920593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Birmingham's specialty?
- Richard Birmingham is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Richard Birmingham located?
- Richard Birmingham's practice location on file with NPPES is 304 Bagwell Rd, Knoxville, TN 37924-2813.
- What is Richard Birmingham's phone number?
- The practice phone number listed in the NPPES registry for Richard Birmingham is (901) 674-1783.
- Does Richard Birmingham accept Medicare?
- Richard Birmingham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Birmingham's NPI active?
- Yes — Richard Birmingham's NPI (1568920593) is active in the NPPES registry as of the last update on 2022-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.