ANDREW BIRKHEAD, MD FAAFP FASAM
Addiction Medicine (Family Medicine) Physician in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: ANDREW BIRKHEAD, MD FAAFP FASAM reported a CMS MIPS final score of 84.5729 out of 100, above the 83.1 national average, and filed 1,403 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
ANDREW BIRKHEAD, MD FAAFP FASAM practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
ANDREW BIRKHEAD, MD FAAFP FASAM at a glance
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Illinois
How Addiction Medicine (Family Medicine) Physician compares to other specialties among Illinois providers
Addiction Medicine (Family Medicine) Physician share within Illinois
Addiction Medicine (Family Medicine) Physician is one of the more visible NUCC categories in Illinois
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
ANDREW BIRKHEAD, MD FAAFP FASAM's 2023 MIPS final score plotted against the Addiction Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 84.5729/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Addiction Medicine (Family Medicine) Physician) — 84.5729/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Addiction Medicine (Family Medicine) Physician US NPIs
84.5729/100 MIPS final score — 1.5 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Addiction Medicine (Family Medicine) Physician. Quality dim: 60.2504. Cost dim: 67.0015.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
ANDREW BIRKHEAD, MD FAAFP FASAM is a Addiction Medicine (Family Medicine) Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD FAAFP FASAM. NPI: 1417341785. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
ANDREW BIRKHEAD, MD FAAFP FASAM appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding MD FAAFP FASAM credentials at 1135 W 69TH ST, CHICAGO, IL, 60621, with a listed phone of (773) 483-5011. NPI 1417341785 was issued on 03/25/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIRKHEAD most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 1,403 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $245K in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 0.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.5729/100 for the 2023 performance year (Quality 60.2504, Cost 67.0015), compared with the national average of 83.1.
Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1417341785 |
|---|---|
| Specialty | Addiction Medicine (Family Medicine) Physician |
| Credentials | MD FAAFP FASAM |
| Gender | Male |
| NPI Issued | 03/25/2015 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm ANDREW BIRKHEAD, MD FAAFP FASAM's current license status, disciplinary history, and board certifications with the Illinois Department of Financial and Professional Regulation in Illinois before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where ANDREW BIRKHEAD, MD FAAFP FASAM bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context — Illinois IDFPR 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to ANDREW BIRKHEAD, MD FAAFP FASAM. To verify ANDREW BIRKHEAD, MD FAAFP FASAM's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
22% brand-name claims vs 78% generic, on 1,403 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 3,114
- Total Day Supply
- 91,107
- Brand vs Generic
- 22% brand / 78% generic
- Brand Drug Cost
- $221K
- Generic Drug Cost
- $23K
- Opioid Claims
- 13 (0.9% rate)
Patient Demographics
- Average Patient Age
- 66.4 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 42, 65-74: 77, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 112 |
| Amlodipine Besylate | 69 |
| Fluticasone Propionate | 53 |
| Trulicity Dulaglutide | 50 |
| Jardiance Empagliflozin | 43 |
| Carvedilol | 40 |
| Nifedipine Er Nifedipine | 39 |
| Pantoprazole Sodium | 38 |
| Metoprolol Succinate | 36 |
| Hydrochlorothiazide | 35 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Addiction Medicine (Family Medicine) Physician Overview
How ANDREW BIRKHEAD, MD FAAFP FASAM fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.
ANDREW BIRKHEAD, MD FAAFP FASAM's 1,403 claims are above the specialty average of 1,134.
Nearby Addiction Medicine (Family Medicine) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as BIRKHEAD.
Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Illinois
Frequently Asked Questions
What is ANDREW BIRKHEAD, MD FAAFP FASAM's specialty? ▼
How much does ANDREW BIRKHEAD, MD FAAFP FASAM prescribe under Medicare Part D? ▼
What is ANDREW BIRKHEAD, MD FAAFP FASAM's Medicare quality score? ▼
Where is ANDREW BIRKHEAD, MD FAAFP FASAM located? ▼
What is ANDREW BIRKHEAD, MD FAAFP FASAM's NPI number? ▼
Does ANDREW BIRKHEAD, MD FAAFP FASAM prescribe more brand-name or generic drugs? ▼
Does ANDREW BIRKHEAD, MD FAAFP FASAM prescribe opioids? ▼
How many Addiction Medicine (Family Medicine) Physician providers are there in the US? ▼
What drugs does ANDREW BIRKHEAD, MD FAAFP FASAM prescribe most often? ▼
Does ANDREW BIRKHEAD, MD FAAFP FASAM accept Medicare? ▼
How can I verify ANDREW BIRKHEAD, MD FAAFP FASAM's credentials? ▼
Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology