Phyllis Birkel, MD
NPI 1871657643 · Rheumatology Physician · Rochester Hills, MI
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phyllis Birkel, MD is a Rheumatology Physician provider in Rochester Hills, MI (NPI 1871657643).
Provider details
- NPI number
- 1871657643
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4301043590 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
279 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 195 | $129 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 50 | $91 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $169 |
Typical Medicare-allowed amounts for these services range $91–$169 (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 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 160 | 35 |
| Methotrexate Sodiumbrand: Methotrexate | 149 | 25 |
| Hydroxychloroquine Sulfate | 103 | 22 |
| Etanerceptbrand: Enbrel Sureclick | 95 | — |
| Sulfasalazine | 50 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 36 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,544 across 144 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
- 2006-12-19
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Frequently asked questions
- What is Phyllis Birkel's NPI number?
- Phyllis Birkel's National Provider Identifier (NPI) is 1871657643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phyllis Birkel's specialty?
- Phyllis Birkel is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Phyllis Birkel located?
- Phyllis Birkel's practice location on file with NPPES is 1460 Walton Blvd Ste 110, Rochester Hills, MI 48309-1753.
- What is Phyllis Birkel's phone number?
- The practice phone number listed in the NPPES registry for Phyllis Birkel is (248) 650-7700.
- Does Phyllis Birkel accept Medicare?
- Phyllis Birkel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phyllis Birkel's NPI active?
- Yes — Phyllis Birkel's NPI (1871657643) is active in the NPPES registry as of the last update on 2025-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.