2026 NPPES data Family Medicine Physician NPI 1336223056 ARNP
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Carol Birch, ARNP

Family Medicine Physician in Seattle, Washington. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
407
Medicare Part D claims · 81 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
37%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.8/100
▼ 0 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Carol Birch, ARNP reported a CMS MIPS final score of 82.8/100 - below the 83.1 national average - and filed 407 Medicare Part D claims in 2023.

82.8/100
MIPS score · 0 vs avg
407
Part D claims, 2023
37%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Carol Birch, ARNP's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

83 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Carol Birch, ARNP sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carol Birch, ARNP writes more Part D claims than 21% of them and scores higher on MIPS quality than 38% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Carol Birch, ARNP-Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 38
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Carol Birch, ARNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Carol Birch, ARNP practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Carol Birch, ARNP?

Near national average

NPI registry status

Active

Issued 10/25/2006

NPI 1336223056

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

407 88% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

82.8/100 0.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Family Medicine Physician compares to other specialties among Washington providers

Washington providers

Largest specialties in Washington (% of in-state providers)

Mental Health Counselor - 8.6%Mental Health Counselor8.6%Massage Therapist - 6.5%Massage Therapist6.5%Counselor - 5.7%Counselor5.7%Behavior Technician - 4.5%Behavior Technician4.5%Pharmacist - 4%Pharmacist4%Physical Therapist - 3.6%Physical Therapist3.6%Family Medicine Physician - 2.6%Family Medicine Physician2.6%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance, MIPS

Carol Birch, ARNP's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
82.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) - 82.8/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Family Medicine Physician) - 82.8/100 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).

Carol Birch, ARNP appears in the CMS NPPES registry as a Family Medicine Physician provider holding ARNP credentials at 801 BROADWAY STE 730, Seattle, WA, 98122, with a listed phone of (206) 215-2525. NPI 1336223056 was issued on 10/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Birch 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 407 prescription claims written by this provider, covering 81 Medicare beneficiaries and totaling roughly $308K in drug spend, split 58% brand-name and 37% generic by claim count. 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 82.8/100 for the 2023 performance year (Quality 82.1, Cost 60.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

801 BROADWAY STE 730
Seattle, WA 98122

Provider Details

NPI 1336223056
Specialty Family Medicine Physician
Credentials ARNP
Gender Female
NPI Issued 10/25/2006

CMS Quality Score (MIPS)

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

82.8417
Final Score
Avg: 83.1
82.1476
Quality
60.658
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Carol Birch, ARNP. To verify Carol Birch, ARNP's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Carol Birch, ARNP - brand share 58.0%
Family Medicine Physician average

58% brand-name claims vs 37% generic, on 407 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.

407
Total Claims
$308K
Total Drug Cost
81
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
641
Total Day Supply
18,740
Brand vs Generic
58% brand / 37% generic
Brand Drug Cost
$306K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
65.6 years
Avg HCC Risk Score
1.32
Gender Split
74% female / 26% male
Age Distribution
<65: 21, 65-74: 50, 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.

What Carol Birch, ARNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ozempic
Semaglutide
178
Metformin Hcl Er
Metformin Hcl
67
Victoza 3-Pak
Liraglutide
31
Furosemide
12
Topiramate
12
Unifine Pentips
"Pen Needle
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How Carol Birch, ARNP fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Carol Birch, ARNP's 407 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Birch.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Washington medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Carol Birch, ARNP's specialty?
Carol Birch, ARNP specializes in Family Medicine Physician and practices in Seattle, Washington. Credentials: ARNP.
How much does Carol Birch, ARNP prescribe under Medicare Part D?
In 2023, Carol Birch, ARNP wrote 407 Medicare Part D claims totaling $308K in drug costs for 81 beneficiaries.
What is Carol Birch, ARNP's Medicare quality score?
Carol Birch, ARNP has a CMS MIPS Final Score of 82.8/100 (Quality: 82.1, Cost: 60.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carol Birch, ARNP located?
Carol Birch, ARNP is located at 801 BROADWAY STE 730, Seattle, WA, 98122. Phone: (206) 215-2525.
What is Carol Birch, ARNP's NPI number?
Carol Birch, ARNP's National Provider Identifier (NPI) is 1336223056, issued on 10/25/2006.
Does Carol Birch, ARNP prescribe more brand-name or generic drugs?
Carol Birch, ARNP's prescribing is 58% brand-name and 37% generic drugs by claim count, with $306K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Carol Birch, ARNP prescribe most often?
Based on 2023 Medicare Part D data, Carol Birch, ARNP's most frequently prescribed drugs include Ozempic, Metformin Hcl Er, Victoza 3-Pak. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carol Birch, ARNP accept Medicare?
Carol Birch, ARNP appears in CMS Medicare data with 407 Part D claims and 81 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carol Birch, ARNP's credentials?
Carol Birch, ARNP's NPI is 1336223056 with credentials ARNP. 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

Compiled from official public sources by the PlainDoctor editorial team.