2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1417341785 MD FAAFP FASAM
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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.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 145 beneficiaries · Addiction Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.5729/100
▲ 1 pts above national avg 83.1 · [object Object]
What the federal data reveals: ANDREW BIRKHEAD, MD FAAFP FASAM is a Addiction Medicine (Family Medicine) Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 1K claims across 145 beneficiaries — 22% brand-name prescribing . Their CMS MIPS Final Score of 84.5729/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

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.

Board certification likely (heuristic — not verified)

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 average

NPI registry status

Active

Issued 03/25/2015

NPI 1417341785

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

1,403 24% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

MIPS final score

84.5729/100 1.4729000000000099% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Addiction Medicine (Family Medicine) Physician compares to other specialties among Illinois providers

Illinois providers

Addiction Medicine (Family Medicine) Physician share within Illinois

1. Addiction Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Family Medicine) Physician share within Illinois

Medicare quality performance — MIPS

ANDREW BIRKHEAD, MD FAAFP FASAM's 2023 MIPS final score plotted against the Addiction Medicine (Family Medicine) Physician national average

Near 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

0%100%National avg83%84.6%
MIPS final score (Addiction Medicine (Family Medicine) Physician) — 84.5729/100 vs national avg 83.1

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

1135 W 69TH ST
CHICAGO, IL 60621

Provider Details

NPI 1417341785
Specialty Addiction Medicine (Family Medicine) Physician
Credentials MD FAAFP FASAM
Gender Male
NPI Issued 03/25/2015

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.5729
Final Score
Avg: 83.1
60.2504
Quality
67.0015
Cost
100
Promoting Interoperability

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.

COOK COUNTY
CHICAGO, IL

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.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

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

ANDREW BIRKHEAD, MD FAAFP FASAM — brand share 22.0%
Specialty average (est.)

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.

1,403
Total Claims
$245K
Total Drug Cost
145
Medicare Beneficiaries

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.

763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider

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 →

Frequently Asked Questions

What is ANDREW BIRKHEAD, MD FAAFP FASAM's specialty?
ANDREW BIRKHEAD, MD FAAFP FASAM specializes in Addiction Medicine (Family Medicine) Physician and practices in CHICAGO, Illinois. Credentials: MD FAAFP FASAM.
How much does ANDREW BIRKHEAD, MD FAAFP FASAM prescribe under Medicare Part D?
In 2023, ANDREW BIRKHEAD, MD FAAFP FASAM wrote 1,403 Medicare Part D claims totaling $245K in drug costs for 145 beneficiaries.
What is ANDREW BIRKHEAD, MD FAAFP FASAM's Medicare quality score?
ANDREW BIRKHEAD, MD FAAFP FASAM has a CMS MIPS Final Score of 84.5729/100 (Quality: 60.2504, Cost: 67.0015). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW BIRKHEAD, MD FAAFP FASAM located?
ANDREW BIRKHEAD, MD FAAFP FASAM is located at 1135 W 69TH ST, CHICAGO, IL, 60621. Phone: (773) 483-5011.
What is ANDREW BIRKHEAD, MD FAAFP FASAM's NPI number?
ANDREW BIRKHEAD, MD FAAFP FASAM's National Provider Identifier (NPI) is 1417341785, issued on 03/25/2015.
Does ANDREW BIRKHEAD, MD FAAFP FASAM prescribe more brand-name or generic drugs?
ANDREW BIRKHEAD, MD FAAFP FASAM's prescribing is 22% brand-name and 78% generic drugs by claim count, with $221K in brand drug costs.
Does ANDREW BIRKHEAD, MD FAAFP FASAM prescribe opioids?
Yes, ANDREW BIRKHEAD, MD FAAFP FASAM had 13 opioid claims in 2023 with an opioid prescribing rate of 0.9%.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US?
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
What drugs does ANDREW BIRKHEAD, MD FAAFP FASAM prescribe most often?
Based on 2023 Medicare Part D data, ANDREW BIRKHEAD, MD FAAFP FASAM's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW BIRKHEAD, MD FAAFP FASAM accept Medicare?
ANDREW BIRKHEAD, MD FAAFP FASAM appears in CMS Medicare data with 1,403 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW BIRKHEAD, MD FAAFP FASAM's credentials?
ANDREW BIRKHEAD, MD FAAFP FASAM's NPI is 1417341785 with credentials MD FAAFP FASAM. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

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