Active NPI 1043214778 Individual Practitioner Female Practitioner

Dr. Nancy P Bierman Birner , MD

Pediatrics • Saint Louis, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Birner, MD is a certified Pediatrics practicing in Saint Louis, MO. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Birner delivers high-quality medical care to the local community at 12700 SOUTHFORK RD.

Dr. Birner is affiliated with Mercy Clinic Illinois, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, 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's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12700 Southfork Rd
Ste 215

Saint Louis, MO 631283201

Telephone 3145435244

Fax 3145435248

Associated Practice Facility / Clinic

🏢 St. Anthony's Medical Center Facility NPI 1760477434

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +18.7 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 19.4 Yrs

Regional Practice Density

461 Specialists

Practicing in Saint Louis, MO (1616 Statewide)

Telehealth Adoption Rate

0.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

42.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birner (30 Years) 30 Yrs

Saint Louis Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	483	267	$176.00	$123.73
G2211 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's	212	159	$40.00	$16.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	181	181	$215.00	$125.71
83036 Hemoglobin A1C level	75	51	$27.00	$9.52
G0008 Administration of influenza virus vaccine	66	66	$39.00	$31.79
90662 Influenza vaccine split virus, preservative free	64	64	$93.00	$81.20
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$125.00	$86.77
81003 Automated urinalysis test	39	26	$6.00	$2.20
G0009 Administration of pneumococcal vaccine	26	26	$39.00	$31.79
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	26	$567.00	$289.96
69210 Removal of impacted ear wax	20	17	$89.00	$47.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$261.00	$160.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$247.00	$176.39
80061 Blood test, lipids (cholesterol and triglycerides)	17	16	$45.00	$13.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$128.00	$51.33
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$60.00	$14.04
82570 Creatinine level to test for kidney function or muscle injury	13	13	$14.00	$5.08
82043 Urine microalbumin (protein) level	13	13	$16.00	$5.66
82947 Blood glucose (sugar) level	12	12	$11.00	$3.85
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$60.00	$13.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	262	$172.19	$125.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	186	186	$212.82	$126.22
83036 Hemoglobin A1C level	111	68	$27.00	$9.52
G0008 Administration of influenza virus vaccine	64	64	$39.00	$30.46
90662 Influenza vaccine split virus, preservative free	63	63	$92.49	$71.82
80061 Blood test, lipids (cholesterol and triglycerides)	51	45	$45.00	$13.12
81003 Automated urinalysis test	47	30	$6.00	$2.20
82947 Blood glucose (sugar) level	46	43	$11.00	$3.85
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	31	31	$567.00	$282.73
G0009 Administration of pneumococcal vaccine	31	31	$39.00	$30.46
69210 Removal of impacted ear wax	30	27	$88.63	$46.86
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$118.96	$88.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	16	$128.00	$50.69
82570 Creatinine level to test for kidney function or muscle injury	12	12	$14.00	$5.08
82043 Urine microalbumin (protein) level	12	12	$16.00	$5.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$255.75	$162.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	489	264	$167.00	$127.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	204	204	$208.00	$129.40
G0009 Administration of pneumococcal vaccine	184	183	$39.00	$29.01
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	181	181	$567.00	$279.27
83036 Hemoglobin A1C level	120	77	$27.00	$9.60
99213 Established patient office or other outpatient visit, typically 15 minutes	94	66	$112.00	$89.43
G0008 Administration of influenza virus vaccine	70	67	$39.00	$28.91
90662 Influenza vaccine split virus, preservative free	67	64	$77.00	$68.30
80061 Blood test, lipids (cholesterol and triglycerides)	63	54	$45.00	$13.27
82947 Blood glucose (sugar) level	55	49	$11.00	$3.90
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	25	$128.00	$52.68
99496 Transitional care management services for problem of high complexity	29	25	$455.00	$276.55
82043 Urine microalbumin (protein) level	28	27	$16.00	$5.70
82570 Creatinine level to test for kidney function or muscle injury	28	27	$14.00	$5.11
69210 Removal of impacted ear wax	25	19	$88.00	$46.58
81003 Automated urinalysis test	24	21	$6.00	$2.21
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$60.00	$14.37
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	14	14	$170.00	$30.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	472	268	$167.00	$131.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$208.00	$135.14
83036 Hemoglobin A1C level	149	91	$27.00	$9.71
36415 Insertion of needle into vein for collection of blood sample	148	119	$12.00	$3.00
80061 Blood test, lipids (cholesterol and triglycerides)	102	83	$45.00	$13.39
82962 Blood glucose (sugar) test performed by hand-held instrument	91	76	$10.00	$3.28
G0008 Administration of influenza virus vaccine	75	75	$39.00	$16.70
90662 Influenza vaccine split virus, preservative free	71	71	$77.00	$65.26
99213 Established patient office or other outpatient visit, typically 15 minutes	61	53	$112.00	$92.18
99496 Transitional care management services for problem of high complexity	40	37	$455.00	$282.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$258.00	$172.80
81003 Automated urinalysis test	35	31	$6.00	$2.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	22	$128.00	$53.57
69210 Removal of impacted ear wax	23	20	$88.00	$48.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$145.00	$125.66
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$60.00	$15.11
G0009 Administration of pneumococcal vaccine	18	18	$39.00	$16.70
82570 Creatinine level to test for kidney function or muscle injury	18	18	$14.00	$5.18
82043 Urine microalbumin (protein) level	18	18	$16.00	$5.78
96127 Assessment of emotional or behavioral problems	17	13	$13.00	$4.90
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	12	11	$104.00	$41.55
99495 Transitional care management services for problem of at least moderate complexity	11	11	$323.00	$208.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	195	$167.00	$109.40
36415 Insertion of needle into vein for collection of blood sample	212	142	$12.00	$2.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	160	$208.00	$117.63
83036 Hemoglobin A1C level	120	75	$27.00	$9.66
99213 Established patient office or other outpatient visit, typically 15 minutes	96	78	$112.00	$74.62
80061 Blood test, lipids (cholesterol and triglycerides)	58	54	$45.00	$13.34
82962 Blood glucose (sugar) test performed by hand-held instrument	52	48	$10.00	$3.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$258.00	$169.61
81003 Automated urinalysis test	26	19	$6.00	$2.23
82044 Urine microalbumin (protein) analysis	25	24	$13.00	$6.20
96127 Assessment of emotional or behavioral problems	23	14	$13.00	$5.06
69210 Removal of impacted ear wax	18	17	$88.00	$50.45
99496 Transitional care management services for problem of high complexity	14	14	$455.00	$247.73
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$60.00	$17.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	140	$207.83	$107.36
83036 Hemoglobin A1C level	68	42	$30.35	$10.57
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$136.75	$71.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$227.93	$115.36
80061 Blood test, lipids (cholesterol and triglycerides)	26	25	$39.92	$14.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$294.32	$165.38
36415 Insertion of needle into vein for collection of blood sample	19	19	$12.00	$2.94
81003 Automated urinalysis test	16	15	$6.75	$2.44
82044 Urine microalbumin (protein) analysis	15	15	$10.40	$6.11
82962 Blood glucose (sugar) test performed by hand-held instrument	15	15	$7.80	$3.21
96127 Assessment of emotional or behavioral problems	15	13	$12.27	$5.24
G0009 Administration of pneumococcal vaccine	15	15	$28.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	156	$214.00	$105.01
83036 Hemoglobin A1C level	84	46	$29.46	$11.61
G0009 Administration of pneumococcal vaccine	48	48	$28.00	$19.90
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$145.00	$70.49
80061 Blood test, lipids (cholesterol and triglycerides)	37	31	$39.00	$16.20
G0008 Administration of influenza virus vaccine	32	31	$50.00	$19.90
90662 Influenza vaccine split virus, preservative free	31	31	$90.00	$52.16
82947 Blood glucose (sugar) level	27	24	$12.00	$4.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$189.00	$105.59
90670 Pneumococcal vaccine for injection into muscle	24	24	$412.00	$198.97
69210 Removal of impacted ear wax	23	18	$98.00	$47.06
96127 Assessment of emotional or behavioral problems	23	21	$12.00	$6.15
81003 Automated urinalysis test	19	17	$7.00	$2.71
82044 Urine microalbumin (protein) analysis	14	14	$10.00	$5.67
99496 Transitional care management services for problem of high complexity	14	11	$459.00	$228.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	128	$212.53	$100.08
83036 Hemoglobin A1C level	80	45	$27.79	$12.73
99213 Established patient office or other outpatient visit, typically 15 minutes	57	36	$144.04	$69.03
G0008 Administration of influenza virus vaccine	39	39	$51.38	$24.52
80061 Blood test, lipids (cholesterol and triglycerides)	39	32	$38.69	$16.45
90662 Influenza vaccine split virus, preservative free	36	36	$89.86	$47.88
81003 Automated urinalysis test	28	17	$7.00	$2.80
96127 Assessment of emotional or behavioral problems	23	21	$11.70	$5.05
82947 Blood glucose (sugar) level	23	23	$12.00	$4.72
G0009 Administration of pneumococcal vaccine	20	20	$29.00	$24.52
99496 Transitional care management services for problem of high complexity	16	15	$458.25	$218.76
69210 Removal of impacted ear wax	15	13	$98.33	$43.69
90670 Pneumococcal vaccine for injection into muscle	13	13	$405.85	$186.17
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	12	12	$45.67	$21.38

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 2015029686

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MO 2015029686

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036-100129

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036100129 (IL)

Commercial Insurance / Payer ID Mo Ptan

156440098 (MO)

Hospital & Practice Group Affiliations

Mercy Clinic Illinois, Llc

1019 Valmeyer Rd, Columbia, IL 622364123

Phone: 6182057170

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Perini Shah , DO

Family Medicine

NPI 1144633819

Doctor of Osteopathic Medicine (D.O.)

Stephanie Simms , AGNP

Nurse Practitioner - Family

NPI 1710492202

Adult-Gerontology Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address March 14, 2017

Registered at 12700 SOUTHFORK RD, STE 215, SAINT LOUIS, MO 631283201 (Tel: 3145435244)

📍

Updated Practice Location March 14, 2017

Registered at 12700 SOUTHFORK RD, STE 215, SAINT LOUIS, MO 631283201 (Tel: 3145435244)

👤

Provider Name / Credentials Updated March 14, 2017

Recorded as NANCY BIRNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Internal Medicine (License #2015029686 in MO)

✅

NPI Profile Active June 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2016

Registered at 12700 SOUTHFORK RD, STE 215, SAINT LOUIS, MO 631283201 (Tel: 3145435244)

📍

Updated Business Mailing Address June 24, 2016

Registered at 9735 LANDMARK PARKWAY DR, STE 200, SAINT LOUIS, MO 631271646 (Tel: 3145435244)

👤

Provider Name / Credentials Updated June 24, 2016

Recorded as NANCY BIRNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2016

Internal Medicine (License #2015029686 in MO)

🟢

Initial NPI Registration & Enumeration June 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043214778

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2005

Last Update: March 14, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12700 Southfork Rd, Ste 215

Saint Louis, MO 631283201

Phone: 3145435244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.