Active NPI 1750590485 Individual Practitioner Male Practitioner

Dr. John Landis Birbari , MD

Surgery • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Birbari, MD is a certified Surgery practicing in Fort Worth, TX. With approximately 22 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2004, Dr. Birbari delivers high-quality medical care to the local community at 1325 PENNSYLVANIA AVENUE.

Dr. Birbari is affiliated with Texas Health Care Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1325 Pennsylvania Avenue
Suite 720

Fort Worth, TX 761042144

Telephone 8173489222

Fax 8173368941

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Worth, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -3.2 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

77 Specialists

Practicing in Fort Worth, TX (2342 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birbari (22 Years) 22 Yrs

Fort Worth Specialty Average (25.2 Years) 25.2 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$251.03	$109.70
99213 Established patient office or other outpatient visit, typically 15 minutes	64	52	$198.88	$90.75
49650 Repair of groin hernia using an endoscope	21	21	$1291.29	$461.46
47562 Removal of gallbladder using an endoscope	20	20	$2304.00	$577.92
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	19	19	$3551.00	$1528.92
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$3250.00	$304.72
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$259.00	$17.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$233.00	$109.54
99213 Established patient office or other outpatient visit, typically 15 minutes	66	57	$156.00	$87.56
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	27	27	$3551.00	$1503.54
49650 Repair of groin hernia using an endoscope	16	16	$1408.50	$522.73
47562 Removal of gallbladder using an endoscope	13	13	$2304.00	$601.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$233.00	$111.77
99213 Established patient office or other outpatient visit, typically 15 minutes	73	66	$156.00	$90.50
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	28	28	$3551.00	$1453.02
47562 Removal of gallbladder using an endoscope	15	15	$2304.00	$585.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$299.00	$134.15
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$647.00	$97.39
49650 Repair of groin hernia using an endoscope	11	11	$1451.18	$525.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$233.00	$111.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	43	$157.00	$71.83
99213 Established patient office or other outpatient visit, typically 15 minutes	63	55	$156.00	$92.39
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	28	27	$3551.00	$1380.11
43246 Insertion of stomach tube using a flexible endoscope	13	13	$632.00	$110.33
49650 Repair of groin hernia using an endoscope	13	13	$1155.69	$410.42
47562 Removal of gallbladder using an endoscope	13	13	$2304.00	$586.43
31600 Opening of windpipe through neck for insertion of breathing tube	11	11	$1000.00	$302.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$233.00	$106.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$299.00	$139.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	25	$157.00	$73.78
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$156.00	$74.91
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	16	$3250.00	$322.26
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	17	17	$3551.00	$1329.79
47562 Removal of gallbladder using an endoscope	16	16	$2304.00	$583.54
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$259.00	$48.87
49650 Repair of groin hernia using an endoscope	13	13	$1372.38	$517.78
31600 Opening of windpipe through neck for insertion of breathing tube	12	12	$1000.00	$299.21
43246 Insertion of stomach tube using a flexible endoscope	12	12	$632.00	$120.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$233.00	$107.33
99213 Established patient office or other outpatient visit, typically 15 minutes	57	50	$156.00	$72.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	43	$299.00	$134.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	17	$87.00	$34.84
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	28	27	$3551.00	$1258.16
49650 Repair of groin hernia using an endoscope	16	16	$1232.44	$447.01
47562 Removal of gallbladder using an endoscope	12	12	$2304.00	$624.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$233.00	$105.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	53	$299.00	$135.33
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$156.00	$70.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	23	$87.00	$38.83
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	23	23	$3551.00	$1237.46
60500 Removal or exploration of parathyroid glands	13	13	$2361.00	$768.38
47562 Removal of gallbladder using an endoscope	12	12	$2304.00	$624.90
49650 Repair of groin hernia using an endoscope	12	12	$1095.50	$424.87
43246 Insertion of stomach tube using a flexible endoscope	12	12	$632.00	$137.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$233.00	$104.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	48	$299.00	$134.32
99213 Established patient office or other outpatient visit, typically 15 minutes	48	42	$156.00	$70.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	17	$87.00	$38.76
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	28	28	$3551.00	$1392.83
43246 Insertion of stomach tube using a flexible endoscope	14	13	$632.00	$130.62
47562 Removal of gallbladder using an endoscope	14	14	$2304.00	$604.94
31600 Opening of windpipe through neck for insertion of breathing tube	12	12	$1000.00	$393.85

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX M5638

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

204658301 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00755923

Hospital & Practice Group Affiliations

Texas Health Care Pllc

1325 Pennsylvania Ave, Fort Worth, TX 761042144

Phone: 8173367305

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. John Crawford , MD

Surgery - Vascular Surgery

NPI 1245243914

Doctor of Medicine (M.D.)

Dr. Paul Gray , MD

Surgery

NPI 1427267145

Doctor of Medicine (M.D.)

Dr. Lee Bloemendal , MD

Surgery

NPI 1790700524

Doctor of Medicine (M.D.)

Dr. Lee Bloemendal , MD

Surgery

NPI 1952326787

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 30, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2011

Registered at 1325 PENNSYLVANIA AVENUE, SUITE 720, FORT WORTH, TX 761042144 (Tel: 8173489222)

📍

Updated Business Mailing Address September 30, 2011

Registered at P.O .BOX 961205, FORT WORTH, TX 761611205 (Tel: 8177408400)

👤

Provider Name / Credentials Updated September 30, 2011

Recorded as JOHN BIRBARI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2011

Surgery (License #M5638 in TX)

🟢

Initial NPI Registration & Enumeration May 21, 2007

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: 1750590485

Entity Type:

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

Enumeration Date: May 21, 2007

Last Update: September 30, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o .box 961205

Fort Worth, TX 761611205

Phone: 8177408400

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.