Active NPI 1548530892 Individual Practitioner Female Practitioner

Debra Lynn Birch , NP

Nurse Practitioner • Wheeling, WV

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Debra Birch, NP is a certified Nurse Practitioner practicing in Wheeling, WV. With approximately 15 years of clinical experience since completing medical education in 2011, Debra Birch delivers high-quality medical care to the local community at 1 MEDICAL PARK.

Debra Birch is affiliated with Wheeling Hospital Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park
Suite 702

Wheeling, WV 26003

Telephone 3042438409

Fax 3042438804

Associated Practice Facility / Clinic

🏢 Wheeling Hospital Inc Facility NPI 1104821305

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wheeling, WV

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +4.8 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 9.2 Yrs

Regional Practice Density

30 Specialists

Practicing in Wheeling, WV (549 Statewide)

Telehealth Adoption Rate

23.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birch (15 Years) 15 Yrs

Wheeling Specialty Average (10.2 Years) 10.2 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	169	88	$127.00	$39.92
99213 Established patient office or other outpatient visit, typically 15 minutes	140	91	$148.00	$53.18
99221 Initial hospital inpatient care per day, typically 30 minutes	56	51	$230.00	$66.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	28	$310.00	$106.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	20	$202.00	$63.58
99442 Telephone medical discussion with physician, 11-20 minutes	18	15	$190.56	$69.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$84.00	$28.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$319.00	$102.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	204	97	$111.17	$40.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	60	$184.51	$64.75
99213 Established patient office or other outpatient visit, typically 15 minutes	109	79	$148.00	$53.00
99221 Initial hospital inpatient care per day, typically 30 minutes	71	64	$230.00	$68.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	39	$310.00	$106.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$84.00	$29.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$298.43	$102.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$214.00	$79.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	339	110	$87.14	$31.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	93	$74.78	$30.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	61	$162.54	$57.91
99213 Established patient office or other outpatient visit, typically 15 minutes	55	46	$119.87	$55.20
99221 Initial hospital inpatient care per day, typically 30 minutes	44	42	$214.25	$82.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	110	$72.00	$56.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	53	$43.55	$29.92
99442 Telephone medical discussion with physician, 11-20 minutes	35	28	$80.00	$56.47
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$280.00	$135.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$189.00	$106.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	547	135	$110.99	$60.54
99213 Established patient office or other outpatient visit, typically 15 minutes	198	126	$72.00	$43.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	148	140	$220.00	$115.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	54	$145.00	$87.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$280.00	$138.41
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$80.00	$43.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$130.00	$66.48
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$146.00	$85.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	937	278	$133.24	$57.35
99213 Established patient office or other outpatient visit, typically 15 minutes	235	138	$72.21	$42.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	139	133	$211.94	$109.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	70	$145.00	$81.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	95	68	$76.71	$31.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	72	$250.00	$152.24
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$146.00	$82.49
99238 Hospital discharge day management, 30 minutes or less	18	18	$120.00	$58.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$43.00	$21.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	804	316	$158.92	$58.81
99213 Established patient office or other outpatient visit, typically 15 minutes	256	144	$72.00	$42.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	248	93	$80.88	$31.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	147	132	$202.45	$110.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	130	117	$250.00	$163.64
99221 Initial hospital inpatient care per day, typically 30 minutes	41	38	$146.00	$82.32
99238 Hospital discharge day management, 30 minutes or less	29	28	$120.00	$58.90
99495 Transitional care management services for problem of at least moderate complexity	15	15	$156.00	$91.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,521	473	$138.28	$58.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	944	385	$78.95	$31.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	277	246	$202.09	$111.31
99213 Established patient office or other outpatient visit, typically 15 minutes	217	126	$72.00	$42.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	90	$250.00	$164.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	45	$130.00	$64.78
99221 Initial hospital inpatient care per day, typically 30 minutes	49	49	$146.00	$82.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	27	$145.00	$77.92
99238 Hospital discharge day management, 30 minutes or less	31	30	$120.00	$58.61
99495 Transitional care management services for problem of at least moderate complexity	12	12	$156.00	$90.74

Medical Specialties & State Licenses

CMS Verified: 2020-05-21

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WV 55609

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0060587 (OH)

Hospital & Practice Group Affiliations

Wheeling Hospital Inc

1 Medical Park, Wheeling, WV 260036379

Phone: 3042424182

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Shawn Stern , DO

Internal Medicine

NPI 1558379123

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 21, 2020

Registered at 1 MEDICAL PARK, SUITE 702, WHEELING, WV 26003 (Tel: 3042438409)

📍

Updated Business Mailing Address May 21, 2020

Registered at 1 MEDICAL PARK, SUITE 702, WHEELING, WV 26003 (Tel: 3042438409)

✅

NPI Profile Active January 04, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2012

Registered at 40 MEDICAL PARK, SUITE 505, WHEELING, WV 260036392 (Tel: 3042324764)

📍

Updated Business Mailing Address January 04, 2012

Registered at 40 MEDICAL PARK, SUITE 505, WHEELING, WV 260036392 (Tel: 3042324764)

👤

Provider Name / Credentials Updated January 04, 2012

Recorded as DEBRA BIRCH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2012

Nurse Practitioner (License #55609 in WV)

🟢

Initial NPI Registration & Enumeration January 04, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1548530892

Entity Type:

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

Enumeration Date: January 04, 2012

Last Update: May 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Park, Suite 702

Wheeling, WV 26003

Phone: 3042438409

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.