2026 NPPES data Nephrology Physician NPI 1851349906 MD
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FREDRIC BIRCH, MD

Nephrology Physician in RAPID CITY, South Dakota. 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
755
Medicare Part D claims · 59 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

FREDRIC BIRCH, MD reported a CMS MIPS final score of 97.5814/100 — above the 83.1 national average — and filed 755 Medicare Part D claims in 2023.

97.5814/100
MIPS score · +14 vs avg
755
Part D claims, 2023
89%
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.

FREDRIC BIRCH, MD's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

FREDRIC BIRCH, MD 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 FREDRIC BIRCH, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/04/2006

NPI 1851349906

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

755 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Nephrology Physician compares to other specialties among South Dakota providers

South Dakota providers

Nephrology Physician share within South Dakota

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within South Dakota

Medicare quality performance — MIPS

FREDRIC BIRCH, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Nephrology Physician) — 97.5814/100 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).

FREDRIC BIRCH, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 640 FLORMANN ST, RAPID CITY, SD, 57701, with a listed phone of (605) 718-3300. NPI 1851349906 was issued on 05/04/2006. 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 755 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $51K in drug spend, split 11% brand-name and 89% 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

640 FLORMANN ST
RAPID CITY, SD 57701

Provider Details

NPI 1851349906
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 05/04/2006

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Typical

FREDRIC BIRCH, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 755 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.

755
Total Claims
$51K
Total Drug Cost
59
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
936
Total Day Supply
26,761
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$35K
Generic Drug Cost
$16K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
5.70
Gender Split
37% female / 63% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What FREDRIC BIRCH, MD 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
Amlodipine Besylate
57
Losartan Potassium
55
Potassium Chloride
46
Furosemide
43
Hydrochlorothiazide
42
Allopurinol
32
Sevelamer Carbonate
25
Clonidine
23
Clonidine Hcl
23
Calcium Acetate
22

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

Nephrology Physician Overview

How FREDRIC BIRCH, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

FREDRIC BIRCH, MD's 755 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as BIRCH.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FREDRIC BIRCH, MD's specialty?
FREDRIC BIRCH, MD specializes in Nephrology Physician and practices in RAPID CITY, South Dakota. Credentials: MD.
How much does FREDRIC BIRCH, MD prescribe under Medicare Part D?
In 2023, FREDRIC BIRCH, MD wrote 755 Medicare Part D claims totaling $51K in drug costs for 59 beneficiaries.
What is FREDRIC BIRCH, MD's Medicare quality score?
FREDRIC BIRCH, MD has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FREDRIC BIRCH, MD located?
FREDRIC BIRCH, MD is located at 640 FLORMANN ST, RAPID CITY, SD, 57701. Phone: (605) 718-3300.
What is FREDRIC BIRCH, MD's NPI number?
FREDRIC BIRCH, MD's National Provider Identifier (NPI) is 1851349906, issued on 05/04/2006.
Does FREDRIC BIRCH, MD prescribe more brand-name or generic drugs?
FREDRIC BIRCH, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $35K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does FREDRIC BIRCH, MD prescribe most often?
Based on 2023 Medicare Part D data, FREDRIC BIRCH, MD's most frequently prescribed drugs include Amlodipine Besylate, Losartan Potassium, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FREDRIC BIRCH, MD accept Medicare?
FREDRIC BIRCH, MD appears in CMS Medicare data with 755 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FREDRIC BIRCH, MD's credentials?
FREDRIC BIRCH, MD's NPI is 1851349906 with credentials MD. 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