Active NPI 1164534350 Individual Practitioner Male Practitioner

Dr. Keith R Birchard , MD

Orthopaedic Surgery • Centralia, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Birchard, MD is a certified Orthopaedic Surgery practicing in Centralia, WA. With approximately 27 years of clinical experience since graduating from University Of Washington School Of Medicine in 1999, Dr. Birchard delivers high-quality medical care to the local community at 1900 COOKS HILL RD.

Dr. Birchard maintains professional affiliations with Washington Orthopaedic Center Inc Ps, Olympia Orthopaedic Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, established patient outpatient office visit, therapy procedure using functional activities. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 Cooks Hill Rd

Centralia, WA 985319073

Telephone 3607362889

Fax 3607363136

Associated Practice Facility / Clinic

🏢 Washington Orthopaedic Center, Inc., Ps Facility NPI 1689787103

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Centralia, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +2.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

8 Specialists

Practicing in Centralia, WA (707 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birchard (27 Years) 27 Yrs

Centralia Specialty Average (25.0 Years) 25.0 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
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	415	61	$12.00	$6.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	196	$233.62	$127.74
97530 Therapy procedure using functional activities	226	43	$56.19	$31.16
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	167	37	$44.99	$21.62
99213 Established patient office or other outpatient visit, typically 15 minutes	142	123	$167.97	$90.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$309.45	$166.34
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	115	35	$50.97	$24.60
20610 Aspiration and/or injection of fluid from large joint	111	86	$230.34	$72.93
97016 Application of blood vessel compression device	94	26	$23.70	$8.52
73564 X-ray of knee, 4 or more views	62	45	$84.00	$47.53
27447 Replacement of knee joint, both sides of knee	44	43	$2737.00	$1168.63
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	44	28	$1463.00	$508.00
73560 X-ray of knee, 1-2 views	30	30	$64.07	$32.39
73562 X-ray of knee, 3 views	28	25	$74.99	$36.09
36415 Insertion of needle into vein for collection of blood sample	20	19	$16.50	$7.49
73501 X-ray of hip with pelvis, 1 view	19	17	$100.00	$33.98
26055 Incision of tendon covering	17	11	$1171.00	$224.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$206.20	$107.68
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$2605.40	$1213.47
97162 Evaluation for physical therapy, typically 30 minutes	12	12	$128.17	$91.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	410	58	$12.00	$6.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	268	$229.00	$124.43
73564 X-ray of knee, 4 or more views	180	138	$84.00	$47.35
73562 X-ray of knee, 3 views	135	110	$75.00	$39.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$308.00	$164.20
99213 Established patient office or other outpatient visit, typically 15 minutes	129	113	$165.02	$88.66
73501 X-ray of hip with pelvis, 1 view	115	98	$92.96	$31.23
20610 Aspiration and/or injection of fluid from large joint	112	92	$236.68	$72.27
73560 X-ray of knee, 1-2 views	100	97	$64.00	$34.59
27447 Replacement of knee joint, both sides of knee	72	68	$2737.00	$1264.39
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	47	30	$1463.00	$509.62
73110 X-ray of wrist, minimum of 3 views	47	15	$73.97	$41.11
27130 Replacement of thigh bone and hip joint with prosthesis	33	32	$2738.00	$1234.19
36415 Insertion of needle into vein for collection of blood sample	31	28	$16.50	$8.40
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$47.00	$14.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	324	53	$12.00	$6.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	237	$227.93	$125.37
73564 X-ray of knee, 4 or more views	135	110	$84.00	$46.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$308.00	$162.64
73560 X-ray of knee, 1-2 views	97	91	$64.00	$34.28
20610 Aspiration and/or injection of fluid from large joint	80	70	$220.90	$70.23
73562 X-ray of knee, 3 views	75	67	$75.00	$39.17
27447 Replacement of knee joint, both sides of knee	73	72	$2785.74	$1230.76
73501 X-ray of hip with pelvis, 1 view	68	58	$94.71	$30.77
99213 Established patient office or other outpatient visit, typically 15 minutes	68	61	$161.54	$89.99
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	64	59	$45.00	$22.34
36415 Insertion of needle into vein for collection of blood sample	58	48	$16.50	$2.87
73110 X-ray of wrist, minimum of 3 views	31	14	$74.00	$42.13
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$47.00	$13.94
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	28	21	$1463.00	$1101.51
73130 X-ray of hand, minimum of 3 views	23	15	$67.00	$37.68
27130 Replacement of thigh bone and hip joint with prosthesis	22	21	$2738.00	$1192.26
26055 Incision of tendon covering	19	15	$1171.00	$213.75
29848 Release of wrist ligament using an endoscope	14	12	$1161.00	$513.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	542	81	$12.00	$6.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	339	244	$215.06	$129.60
20610 Aspiration and/or injection of fluid from large joint	174	106	$219.33	$70.32
73564 X-ray of knee, 4 or more views	154	122	$84.00	$47.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$308.00	$168.05
73560 X-ray of knee, 1-2 views	98	95	$64.00	$34.98
99213 Established patient office or other outpatient visit, typically 15 minutes	83	74	$150.39	$92.18
73130 X-ray of hand, minimum of 3 views	69	47	$67.00	$37.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	66	56	$45.00	$23.12
73502 X-ray of hip, 2-3 views	63	54	$116.03	$44.36
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	46	17	$172.00	$75.59
73562 X-ray of knee, 3 views	43	39	$74.95	$39.98
27447 Replacement of knee joint, both sides of knee	36	36	$2813.03	$1299.89
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$47.00	$14.94
26055 Incision of tendon covering	34	20	$1171.00	$196.60
36415 Insertion of needle into vein for collection of blood sample	32	27	$16.50	$3.00
73110 X-ray of wrist, minimum of 3 views	26	18	$72.23	$38.96
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	25	18	$1463.00	$1219.00
27130 Replacement of thigh bone and hip joint with prosthesis	22	22	$2738.00	$1294.65
29848 Release of wrist ligament using an endoscope	20	14	$1161.00	$518.34
73721 Mri scan of leg joint without contrast	16	16	$1075.00	$229.98
64721 Release and/or relocation of hand nerve	15	14	$878.00	$442.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	577	86	$12.00	$6.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	242	$202.42	$109.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	171	171	$308.00	$162.24
73564 X-ray of knee, 4 or more views	158	124	$79.22	$43.85
20610 Aspiration and/or injection of fluid from large joint	143	96	$220.87	$67.29
73560 X-ray of knee, 1-2 views	127	114	$63.20	$33.11
73502 X-ray of hip, 2-3 views	89	77	$112.30	$41.55
99213 Established patient office or other outpatient visit, typically 15 minutes	80	64	$137.85	$75.15
73562 X-ray of knee, 3 views	50	44	$70.32	$37.27
73130 X-ray of hand, minimum of 3 views	46	35	$65.57	$34.80
73110 X-ray of wrist, minimum of 3 views	42	20	$67.00	$39.39
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	34	12	$172.00	$79.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	27	$41.71	$23.60
27447 Replacement of knee joint, both sides of knee	26	24	$2842.27	$1416.39
73721 Mri scan of leg joint without contrast	20	20	$1075.00	$226.62
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$47.00	$17.26
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$2738.00	$1392.89
36415 Insertion of needle into vein for collection of blood sample	17	15	$16.50	$2.98
26055 Incision of tendon covering	15	13	$1171.00	$218.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$202.00	$108.86
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$2263.00	$1137.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	533	84	$12.00	$6.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	248	$202.00	$108.34
20610 Aspiration and/or injection of fluid from large joint	128	89	$214.44	$65.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$308.00	$166.00
73560 X-ray of knee, 1-2 views	113	95	$63.00	$32.82
73564 X-ray of knee, 4 or more views	111	89	$78.00	$41.60
73502 X-ray of hip, 2-3 views	75	66	$117.47	$40.63
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	50	13	$387.12	$256.54
99213 Established patient office or other outpatient visit, typically 15 minutes	47	44	$137.00	$73.93
73562 X-ray of knee, 3 views	45	38	$69.00	$37.89
27447 Replacement of knee joint, both sides of knee	35	33	$2737.00	$1378.71
36415 Insertion of needle into vein for collection of blood sample	26	24	$16.50	$2.94
73130 X-ray of hand, minimum of 3 views	25	17	$65.00	$33.90
64721 Release and/or relocation of hand nerve	23	17	$878.00	$430.77
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$47.00	$17.27
26055 Incision of tendon covering	17	12	$1171.00	$244.14
73721 Mri scan of leg joint without contrast	16	16	$1075.00	$237.03
29881 Removal of knee cartilage using an endoscope	12	12	$1104.00	$310.66
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$2738.00	$1300.07
29879 Repair of knee joint using an endoscope	11	11	$1348.00	$679.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$322.00	$137.94

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	430	301	$199.04	$107.20
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	388	71	$12.00	$7.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	189	189	$302.65	$163.52
73564 X-ray of knee, 4 or more views	119	97	$77.45	$39.73
20610 Aspiration and/or injection of fluid from large joint	106	71	$214.60	$65.15
73560 X-ray of knee, 1-2 views	104	90	$63.06	$30.95
73130 X-ray of hand, minimum of 3 views	86	52	$65.00	$31.38
73502 X-ray of hip, 2-3 views	79	66	$92.10	$32.56
99213 Established patient office or other outpatient visit, typically 15 minutes	65	62	$135.46	$72.08
73562 X-ray of knee, 3 views	56	46	$69.27	$34.12
26055 Incision of tendon covering	49	34	$1171.00	$247.74
36415 Insertion of needle into vein for collection of blood sample	48	42	$16.50	$2.94
73100 X-ray of wrist, 2 views	45	24	$60.48	$30.24
64721 Release and/or relocation of hand nerve	44	36	$878.00	$413.19
27447 Replacement of knee joint, both sides of knee	41	41	$2737.00	$1377.53
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	39	14	$351.00	$144.07
93000 Routine ekg using at least 12 leads including interpretation and report	38	38	$47.00	$17.07
73721 Mri scan of leg joint without contrast	26	26	$1075.00	$240.19
29075 Application of elbow to finger cast	19	13	$216.00	$88.37
73070 X-ray of elbow, 2 views	18	13	$61.11	$23.81
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	18	13	$50.00	$19.28
27130 Replacement of thigh bone and hip joint with prosthesis	17	15	$2738.00	$1378.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$199.50	$108.21
20550 Injection into tendon or ligament	15	13	$157.00	$51.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$333.00	$145.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	681	106	$12.00	$6.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	325	$192.97	$105.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	208	208	$292.77	$161.54
20610 Aspiration and/or injection of fluid from large joint	182	121	$222.09	$63.91
73560 X-ray of knee, 1-2 views	175	137	$63.02	$30.06
73564 X-ray of knee, 4 or more views	155	126	$77.57	$39.57
73130 X-ray of hand, minimum of 3 views	122	67	$65.00	$30.65
73502 X-ray of hip, 2-3 views	101	72	$99.27	$34.68
99213 Established patient office or other outpatient visit, typically 15 minutes	87	77	$130.64	$71.85
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	75	23	$351.00	$145.94
73100 X-ray of wrist, 2 views	66	22	$60.00	$28.00
73562 X-ray of knee, 3 views	50	47	$69.54	$33.21
73610 X-ray of ankle, minimum of 3 views	39	18	$65.17	$29.58
73721 Mri scan of leg joint without contrast	38	35	$1075.00	$233.96
93000 Routine ekg using at least 12 leads including interpretation and report	37	37	$47.00	$16.53
27447 Replacement of knee joint, both sides of knee	37	36	$2737.00	$1342.88
36415 Insertion of needle into vein for collection of blood sample	32	28	$16.50	$2.94
26055 Incision of tendon covering	30	24	$1171.00	$236.46
64721 Release and/or relocation of hand nerve	27	25	$910.52	$407.70
29075 Application of elbow to finger cast	25	18	$233.28	$90.45
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	25	18	$50.00	$19.11
73070 X-ray of elbow, 2 views	22	11	$61.05	$26.38
73140 X-ray of finger, minimum of 2 views	19	15	$73.00	$30.29
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	16	14	$55.00	$11.96
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$2488.00	$1219.95
29125 Application of nonmoveable forearm to hand splint	15	13	$169.00	$62.84
20550 Injection into tendon or ligament	13	12	$169.08	$54.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$333.00	$143.90
29879 Repair of knee joint using an endoscope	12	11	$1532.08	$657.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$191.91	$106.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$322.00	$134.85
29881 Removal of knee cartilage using an endoscope	11	11	$1336.09	$283.82

Medical Specialties & State Licenses

CMS Verified: 2026-04-23

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD00041707

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Olympia Orthopaedic Associates Pllc

3901 Capital Mall Dr Sw, Olympia, WA 985028654

Phone: 3605703460

Washington Orthopaedic Center Inc Ps

704 Lilly Rd Se, Olympia, WA 985012115

Phone: 3607362889

Washington Orthopaedic Center Inc Ps

1900 Cooks Hill Rd, Centralia, WA 985319073

Phone: 3607362889

Practice Associates & Co-Workers

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

30 Associated Practitioners

Darice Teitzel

Licensed Practical Nurse

NPI 1023287406

Erin Elliott

Registered Nurse

NPI 1043488240

Dr. Michael Dujela , DPM

Podiatrist

NPI 1083719876

Doctor of Podiatric Medicine

Dr. Keith Anderson , MD

Orthopaedic Surgery

NPI 1083726269

Doctor of Medicine (M.D.)

Cassie Powers , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1093884561

Registered Nurse

Joann Wilkey , RN

Registered Nurse

NPI 1104073105

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address April 23, 2026

Registered at PO BOX 368, OLYMPIA, WA 985070368 (Tel: 3604918439)

✅

NPI Profile Active May 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 04, 2010

Registered at 1900 COOKS HILL RD, CENTRALIA, WA 985319073 (Tel: 3607362886)

📍

Updated Business Mailing Address May 04, 2010

Registered at 1900 COOKS HILL RD, CENTRALIA, WA 985319073 (Tel: 3607362886)

👤

Provider Name / Credentials Updated May 04, 2010

Recorded as KEITH BIRCHARD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2010

Orthopaedic Surgery (License #MD00041707 in WA)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Keith Birchard. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164534350

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: April 23, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 368

Olympia, WA 985070368

Phone: 3604918439

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.